Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1997
NPI: 1295709483
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
2025 MORSE AVE
SACRAMENTO, CA 958252115
9169735000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.