Graduated: 1987
NPI: 1881769263
Practice Locations (3)
WELLSPACE HEALTH
10423 OLD PLACERVILLE RD, SUITE A
SACRAMENTO, CA 958272540
9165698600
1740 FRUITRIDGE RD
SACRAMENTO, CA 958223067
9163998833
OBHG CALIFORNIA PC
825 DELBON AVE
TURLOCK, CA 953822016
8649083530
Source: CMS National Downloadable File, September 2026.