Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 1991
NPI: 1013084037
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
Source: CMS National Downloadable File, September 2026.