Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2003
NPI: 1023287786
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
250 TRAVELODGE DR
EL CAJON, CA 920204126
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.