Graduated: 2022
NPI: 1932666849
Practice Locations (2)
NORTHBAY HEALTH MEDICAL FOUNDATION
1860 PENNSYLVANIA AVE
FAIRFIELD, CA 945333590
7076464114
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1860 PENNSYLVANIA AVE, SUITE 305
FAIRFIELD, CA 945333550
7076464333
Source: CMS National Downloadable File, September 2026.