Graduated: 2000
NPI: 1871561100
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
401 BICENTENNIAL WAY
SANTA ROSA, CA 954032149
7073934000
HAWAII PERMANENTE MEDICAL GROUP INC
3288 MOANALUA RD
HONOLULU, HI 968191469
8084320000
Source: CMS National Downloadable File, September 2026.