Graduated: 2012
NPI: 1730520610
Practice Locations (2)
SHASTA COMMUNITY HEALTH CENTER
2965 E ST
ANDERSON, CA 960073481
5303780486
PERMANENTE MEDICAL GROUP INC
1011 RIVERSIDE AVE
ROSEVILLE, CA 956785134
9167844050
Source: CMS National Downloadable File, September 2026.