Graduated: 2015
NPI: 1184073165
Practice Locations (2)
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1200 B GALE WILSON BLVD
FAIRFIELD, CA 945333552
7074293600
PERMANENTE MEDICAL GROUP INC
1 QUALITY DR
VACAVILLE, CA 956889494
7076244000
Source: CMS National Downloadable File, September 2026.