Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2015
NPI: 1346637824
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
Source: CMS National Downloadable File, September 2026.