Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2000
NPI: 1053499137
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
PERMANENTE MEDICAL GROUP INC
1425 S MAIN ST
WALNUT CREEK, CA 945965318
9252954000
Source: CMS National Downloadable File, September 2026.