Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2018
NPI: 1548766488
Practice Locations (2)
CEP AMERICA - CALIFORNIA
815 POLLARD RD
LOS GATOS, CA 950321438
4083786131
PERMANENTE MEDICAL GROUP INC
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 940803208
6507422000
Source: CMS National Downloadable File, September 2026.