Graduated: 2018
NPI: 1235698929
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
3600 BROADWAY
OAKLAND, CA 946115730
5107521000
GENESIS HEALTHCARE PARTNERS PC
2089 VALE RD, SUITE 33
SAN PABLO, CA 948063850
5102345012
Source: CMS National Downloadable File, September 2026.