Medical school: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1639706039
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: LIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1639706039
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
Source: CMS National Downloadable File, September 2026.