Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2004
Also: SPORTS MEDICINE
NPI: 1861540874
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
3900 LAKEVILLE HWY
PETALUMA, CA 949545698
7077653900
Source: CMS National Downloadable File, September 2026.