Graduated: 2016
NPI: 1487106225
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1000 NUT TREE RD
VACAVILLE, CA 956874100
7076247000
Source: CMS National Downloadable File, September 2026.