Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1997
NPI: 1245304559
Practice Locations (5)
PERMANENTE MEDICAL GROUP INC
4501 SAND CREEK RD
ANTIOCH, CA 945318687
9258136500
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
PERMANENTE MEDICAL GROUP INC
1 QUALITY DR
VACAVILLE, CA 956889494
7076244000
PERMANENTE MEDICAL GROUP INC
975 SERENO DR
VALLEJO, CA 945892441
7076511000
PERMANENTE MEDICAL GROUP INC
1425 S MAIN ST
WALNUT CREEK, CA 945965318
9252954000
Source: CMS National Downloadable File, September 2026.