Graduated: 2002
NPI: 1427284215
Practice Locations (4)
PERMANENTE MEDICAL GROUP INC
3925 OLD REDWOOD HWY
SANTA ROSA, CA 954031719
7073934033
PERMANENTE MEDICAL GROUP INC
3975 OLD REDWOOD HWY
SANTA ROSA, CA 954031719
7073934000
PERMANENTE MEDICAL GROUP INC
401 BICENTENNIAL WAY
SANTA ROSA, CA 954032149
7073934000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.