Graduated: 2019
NPI: 1972066785
Practice Locations (2)
FOLSOM ORTHOPAEDIC SURGERY AND SPORTS INJURY MEDICAL CLINIC, INC.
1743 CREEKSIDE DR, SUITE 130
FOLSOM, CA 956303541
9169832307
REGENTS OF THE UNIVERSITY OF CALIFORNIA
9400 CAMPUS POINT DR
LA JOLLA, CA 920931350
8586577000
Source: CMS National Downloadable File, September 2026.