Graduated: 1990
Also: FAMILY PRACTICE
NPI: 1548557382
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
2500 MERCED ST
SAN LEANDRO, CA 945774201
5104541000
DIGNITY HEALTH MEDICAL FOUNDATION
632 W GIBSON RD
WOODLAND, CA 956955169
5306682600
Source: CMS National Downloadable File, September 2026.