Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2007
NPI: 1003117649
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
23781 MAQUINA
MISSION VIEJO, CA 926912716
8889882800
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 926751300
9492342003
Source: CMS National Downloadable File, September 2026.