Graduated: 2019
NPI: 1750056255
Practice Locations (2)
MARSHALL MEDICAL CENTER
4201 TOWN CTR BLVD, BLDG D
EL DORADO HILLS, CA 957627100
9169056378
CEP AMERICA - CALIFORNIA
200 MISSION BLVD
JACKSON, CA 956422564
2092237500
Source: CMS National Downloadable File, September 2026.