Graduated: 2023
NPI: 1851173983
Practice Locations (2)
NORTHBAY HEALTH MEDICAL FOUNDATION
1860 PENNSYLVANIA AVE
FAIRFIELD, CA 945333590
7076464114
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
2500 HILBORN RD
FAIRFIELD, CA 945341097
7076463445
Source: CMS National Downloadable File, September 2026.