Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1215041835
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
285 PALLADIO PKWY
FOLSOM, CA 956308741
9168175000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.