Medical school: UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated: 2013
NPI: 1619312451
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
1680 D E ROSEVILLE PKWY, BLDG D UNIT 110
ROSEVILLE, CA 956613988
9167844000
Source: CMS National Downloadable File, September 2026.