Graduated: 2022
NPI: 1457081424
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1011 RIVERSIDE AVE
ROSEVILLE, CA 956785134
9167844050
ROSEVILLE OPTOMETRY
576 N SUNRISE AVE, SUITE 110
ROSEVILLE, CA 956612846
9167733937
Source: CMS National Downloadable File, September 2026.