Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1972653780
Practice Locations (5)
PERMANENTE MEDICAL GROUP INC
1100 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1150 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1190 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
COUNTY OF SAN MATEO
22 W 39TH AVE, HOS316MS
SAN MATEO, CA 944034364
COUNTY OF SAN MATEO
222 W 39TH AVE
SAN MATEO, CA 944034364
Source: CMS National Downloadable File, September 2026.