Graduated: 2003
Offers telehealth
NPI: 1740431246
Practice Locations (3)
15810 S HARLAN RD, SUITE A
LATHROP, CA 953308719
2099839000
1040 N MAIN ST
MANTECA, CA 953363745
2098255155
9140 ALCOSTA BLVD, SUITE D
SAN RAMON, CA 945833858
9253615959
Source: CMS National Downloadable File, September 2026.