Graduated: 1985
NPI: 1487670352
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
5615 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 950663492
8314302700
PERMANENTE MEDICAL GROUP INC
75 NEILSON ST
WATSONVILLE, CA 950762468
8317244741
Source: CMS National Downloadable File, September 2026.