Graduated: 1983
NPI: 1609814557
Practice Locations (2)
EL DORADO ANESTHESIA MEDICAL GROUP
1100 MARSHALL WAY
PLACERVILLE, CA 956676533
5306221441
PERMANENTE MEDICAL GROUP INC
1600 EUREKA RD
ROSEVILLE, CA 956613027
9167844000
Source: CMS National Downloadable File, September 2026.