Graduated: 2000
NPI: 1659450187
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1600 EUREKA RD
ROSEVILLE, CA 956613027
9167844000
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167033011
Source: CMS National Downloadable File, September 2026.