Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2000
NPI: 1184702854
Practice Locations (2)
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.