Graduated: 1976
NPI: 1881773281
Practice Locations (4)
900 FULTON AVE, SUITE 1
Sacramento, CA 958254516
2267 SWARTHMORE DR
SACRAMENTO, CA 958256607
900 FULTON AVE, SUITE 100 1
SACRAMENTO, CA 958254500
900 FULTON AVE, SUITE 100 1
SACRAMENTO, CA 958254516
9169471557
Source: CMS National Downloadable File, September 2026.