Graduated: 1982
NPI: 1669510665
Practice Locations (2)
SUTTER BAY HOSPITALS
5196 HILL RD E, SUITE 300
LAKEPORT, CA 954536374
7072636885
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.