Graduated: 1996
NPI: 1780628834
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
7300 N FRESNO ST
FRESNO, CA 937202941
5594484500
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.