Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1991
NPI: 1346204153
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
4753 W SHAW AVE, SUITE 101
FRESNO, CA 937226209
5592778738
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.