Graduated: 2022
NPI: 1750012498
Practice Locations (2)
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
1235 W VINE ST, SUITE 20
LODI, CA 952405144
2093343411
VITREO-RETINAL MEDICAL GROUP, INC.
3 PARK CTR DR, SUITE 100
SACRAMENTO, CA 958258340
9164544861
Source: CMS National Downloadable File, September 2026.