Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1952489676
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
2025 MORSE AVE
SACRAMENTO, CA 958252115
9169735000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.