Graduated: 2001
NPI: 1649356296
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
3600 BROADWAY
OAKLAND, CA 946115730
5107521000
MAI NURSING ANESTHESIA PC
1720 4TH ST
SANTA ROSA, CA 954043602
7075468100
Source: CMS National Downloadable File, September 2026.