Graduated: 2008
NPI: 1497319040
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
501 J ST
SACRAMENTO, CA 958142325
9164973000
IU HEALTH MEDICAL GROUP, LLC
1701 N SENATE BLVD
INDIANAPOLIS, IN 462021239
8884843258
Source: CMS National Downloadable File, September 2026.