Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2005
NPI: 1194996793
Practice Locations (4)
PERMANENTE MEDICAL GROUP INC
4501 SAND CREEK RD
ANTIOCH, CA 945318687
9258136500
PERMANENTE MEDICAL GROUP INC
3100 DUBLIN BLVD
DUBLIN, CA 945684363
9255564200
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
PERMANENTE MEDICAL GROUP INC
1425 S MAIN ST
WALNUT CREEK, CA 945965318
9252954000
Source: CMS National Downloadable File, September 2026.