Graduated: 2014
NPI: 1568913044
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
2500 MERCED ST
SAN LEANDRO, CA 945774201
5104541000
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
Source: CMS National Downloadable File, September 2026.