Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2020
Also: FAMILY PRACTICE
NPI: 1134756984
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
2500 MERCED ST
SAN LEANDRO, CA 945774201
5104541000
Source: CMS National Downloadable File, September 2026.