Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2003
NPI: 1417975103
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
275 W MACARTHUR BLVD
OAKLAND, CA 946115641
5107521000
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
Source: CMS National Downloadable File, September 2026.