Graduated: 2014
NPI: 1174262927
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
7300 WYNDHAM DR
SACRAMENTO, CA 958234913
9166882000
SUD SPECIALTY GROUP - CA
4633 OLD IRONSIDES DR, SUITE 304
SANTA CLARA, CA 950541846
8662800260
Source: CMS National Downloadable File, September 2026.