Medical school: ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1987
NPI: 1992886261
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
1600 EUREKA RD
ROSEVILLE, CA 956613027
9167844000
PERMANENTE MEDICAL GROUP INC
1643 EUREKA RD
ROSEVILLE, CA 956613027
9169735300
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.