Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2001
NPI: 1619146388
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
PERMANENTE MEDICAL GROUP INC
2500 MERCED ST
SAN LEANDRO, CA 945774201
5104541000
Source: CMS National Downloadable File, September 2026.