Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2016
NPI: 1073960159
Practice Locations (2)
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
Source: CMS National Downloadable File, September 2026.