Graduated: 2022
NPI: 1407591522
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
CEP AMERICA - CALIFORNIA
400 W MINDERAL KING AVE
VISALIA, CA 932916237
5596242000
Source: CMS National Downloadable File, September 2026.