Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1851368054
Practice Locations (2)
1144 NORMAN DR, SUITE 204
MANTECA, CA 953365960
2098241313
2160 W GRANT LINE RD, SUITE 140
TRACY, CA 953777331
2098333449
Source: CMS National Downloadable File, September 2026.