Graduated: 2011
NPI: 1790057784
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
285 PALLADIO PKWY
FOLSOM, CA 956308741
9168175000
EL DORADO ANESTHESIA MEDICAL GROUP
1100 MARSHALL WAY
PLACERVILLE, CA 956676533
5306221441
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.