Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1003060492
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2620 LAS POSAS RD
CAMARILLO, CA 930103400
8053832100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
145 HODENCAMP RD
THOUSAND OAKS, CA 913605810
8885153500
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
888 S HILL RD
VENTURA, CA 930038400
8054776400
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.