Medical school: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated: 2016
NPI: 1811439979
Practice Locations (1)
CLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
1235 W VINE ST, SUITE 20
LODI, CA 952405144
2093343411
Source: CMS National Downloadable File, September 2026.