Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2011
NPI: 1831498195
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
2500 MERCED ST
SAN LEANDRO, CA 945774201
5104541000
CEP AMERICA - CALIFORNIA
222 W 39TH AVE
SAN MATEO, CA 944034364
6505732222
Source: CMS National Downloadable File, September 2026.