Graduated: 2010
NPI: 1982919312
Practice Locations (2)
SAN JOAQUIN FACULTY MEDICAL GROUP
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686600
COUNTY OF SAN JOAQUIN
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686000
Source: CMS National Downloadable File, September 2026.