Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1991
NPI: 1023185956
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
30400 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 926751300
9492342003
Source: CMS National Downloadable File, September 2026.