Graduated: 2009
NPI: 1215270533
Practice Locations (5)
COUNTY OF SAN MATEO
22 W 39TH AVE
SAN MATEO, CA 944034364
COUNTY OF SAN MATEO
22 W 39TH AVE, HOS316MS
SAN MATEO, CA 944034364
COUNTY OF SAN MATEO
222 W 39TH AVE
SAN MATEO, CA 944034364
COUNTY OF SAN MATEO
222 W 39TH AVE, HOS316MS
SAN MATEO, CA 944034364
PERMANENTE MEDICAL GROUP INC
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 940803208
6507422000
Source: CMS National Downloadable File, September 2026.