Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1689751547
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
PERMANENTE MEDICAL GROUP INC
710 LAWRENCE EXPRESS WAY
SANTA CLARA, CA 950515173
4088511000
Source: CMS National Downloadable File, September 2026.