Medical school: CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Graduated: 2022
NPI: 1366932865
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
CEP AMERICA - CALIFORNIA
1420 N TRACY BLVD
TRACY, CA 953763451
2098351500
Source: CMS National Downloadable File, September 2026.