Graduated: 2017
NPI: 1053765727
Practice Locations (2)
PACIFIC REDWOOD MEDICAL GROUP INC
15630 18TH AVE
CLEARLAKE, CA 954229336
7019946486
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
Source: CMS National Downloadable File, September 2026.