Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1996
Also: SPORTS MEDICINE
NPI: 1588687685
Practice Locations (4)
PERMANENTE MEDICAL GROUP INC
1100 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1150 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1190 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 940803208
6507422000
Source: CMS National Downloadable File, September 2026.