Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2007
NPI: 1003070400
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
10350 E DAKOTA AVE, KAISER PERMANENTE REGIONAL OFFICE
DENVER, CO 802471314
3033384545
Source: CMS National Downloadable File, September 2026.