Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1881768497
Practice Locations (8)
PERMANENTE MEDICAL GROUP INC
1721 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
1777 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
1779 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
1789 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
PERMANENTE MEDICAL GROUP INC
710 LAWRENCE EXPRESS WAY
SANTA CLARA, CA 950515173
4088511000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.