Graduated: 2020
NPI: 1285253799
Practice Locations (2)
CEP AMERICA - CALIFORNIA
2500 GRANT RD
MOUNTAIN VIEW, CA 940404302
6509407000
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
Source: CMS National Downloadable File, September 2026.