Graduated: 2021
NPI: 1164097804
Practice Locations (2)
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1200 B GALE WILSON BLVD
FAIRFIELD, CA 945333552
7074293600
PERMANENTE MEDICAL GROUP INC
275 W MACARTHUR BLVD
OAKLAND, CA 946115641
5107521000
Source: CMS National Downloadable File, September 2026.