Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1700889128
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
401 BICENTENNIAL WAY
SANTA ROSA, CA 954032149
7073934000
SANTA ROSA COMMUNITY HEALTH CENTERS
751 LOMBARDI CT
SANTA ROSA, CA 954076798
7073033600
Source: CMS National Downloadable File, September 2026.