Medical school: ILLINOIS MEDICAL COLLEGE
Graduated: 2005
Also: SPORTS MEDICINE
NPI: 1710174180
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
4501 SAND CREEK RD
ANTIOCH, CA 945318687
9258136500
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
Source: CMS National Downloadable File, September 2026.