Graduated: 1990
NPI: 1326126046
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
VITUITY HOSPITALISTS PC
1911 JOHNSON AVE
SAN LUIS OBISPO, CA 934014131
8055435353
Source: CMS National Downloadable File, September 2026.