Graduated: 2019
NPI: 1992367197
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
700 LAWRENCE EXPY
SANTA CLARA, CA 950515173
4088511000
MAI NURSING ANESTHESIA PC
1720 4TH ST
SANTA ROSA, CA 954043602
7075468100
Source: CMS National Downloadable File, September 2026.