Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2005
NPI: 1093011884
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
39400 PASEO PADRE PKWY
FREMONT, CA 945382310
5102483000
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
PERMANENTE MEDICAL GROUP INC
2500 MERCED ST
SAN LEANDRO, CA 945774201
5104541000
Source: CMS National Downloadable File, September 2026.