Graduated: 2003
NPI: 1609974567
Practice Locations (2)
PACIFIC REDWOOD MEDICAL GROUP INC
15630 18TH AVE
CLEARLAKE, CA 954229336
7019946486
PERMANENTE MEDICAL GROUP INC
1425 S MAIN ST
WALNUT CREEK, CA 945965318
9252954000
Source: CMS National Downloadable File, September 2026.