Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2005
NPI: 1083751861
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
PERMANENTE MEDICAL GROUP INC
710 LAWRENCE EXPRESS WAY
SANTA CLARA, CA 950515173
4088511000
Source: CMS National Downloadable File, September 2026.