225200000X
Sacramento, CA
Specialty
225200000X
Credential
PTA
NPI
1972608446
1201 Alhambra Blvd, Sacramento, CA 95816
(916) 733-8222Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X