Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1995
NPI: 1952488892
Practice Locations (4)
PERMANENTE MEDICAL GROUP INC
250 HOSPITAL PKWY
SAN JOSE, CA 951191103
4089723000
PERMANENTE MEDICAL GROUP INC
280 HOSPITAL PKWY
SAN JOSE, CA 951191103
4089723000
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
Source: CMS National Downloadable File, September 2026.