Graduated: 2005
NPI: 1386907624
Practice Locations (3)
5167 CLAYTON RD, SUITE H
CONCORD, CA 945213170
9253751971
PERMANENTE MEDICAL GROUP INC
1001 RIVERSIDE AVE
ROSEVILLE, CA 956785134
9167844050
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3175 NE ALOCLEK DR
HILLSBORO, OR 971247135
8008132000
Source: CMS National Downloadable File, September 2026.