Graduated: 2001
NPI: 1174678130
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
10725 INTERNATIONAL DR
RANCHO CORDOVA, CA 956707967
9166313000
PERMANENTE MEDICAL GROUP INC
2025 MORSE AVE
SACRAMENTO, CA 958252115
9169735000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.