Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1790988772
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
4501 SAND CREEK RD
ANTIOCH, CA 945318687
9258136500
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
Source: CMS National Downloadable File, September 2026.