Graduated: 1996
NPI: 1790863363
Practice Locations (4)
PERMANENTE MEDICAL GROUP INC
10725 INTERNATIONAL DR
RANCHO CORDOVA, CA 956707967
9166313000
PERMANENTE MEDICAL GROUP INC
1600 EUREKA RD
ROSEVILLE, CA 956613027
9167844000
PERMANENTE MEDICAL GROUP INC
1643 EUREKA RD
ROSEVILLE, CA 956613027
9169735300
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.