Graduated: 2021
NPI: 1992468409
Practice Locations (2)
REGENTS OF THE UNIV OF CA
2221 STOCKTON BLVD
SACRAMENTO, CA 958171418
9167343761
PERMANENTE MEDICAL GROUP INC
975 SERENO DR
VALLEJO, CA 945892441
7076511000
Source: CMS National Downloadable File, September 2026.