Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1997
Offers telehealth
NPI: 1972576270
Practice Locations (1)
FOLSOM LAKE PRIMARY CARE PC
2575 E BIDWELL ST, SUITE 210
FOLSOM, CA 956306446
9167900450
Source: CMS National Downloadable File, September 2026.