Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1730162421
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
9201 BIG HORN BLVD
ELK GROVE, CA 957581240
9164785000
Source: CMS National Downloadable File, September 2026.