Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1995
Offers telehealth
NPI: 1528009685
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.