Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1013065085
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12815 HEACOCK ST
MORENO VALLEY, CA 925533116
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.