Graduated: 2019
NPI: 1013553064
Practice Locations (2)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
25455 BARTON RD, SUITE 108A
LOMA LINDA, CA 923543139
9095584000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.