Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
Also: GERIATRIC MEDICINE
NPI: 1043284979
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13640 ROSCOE BLVD
PANORAMA CITY, CA 914023904
8183752000
Source: CMS National Downloadable File, September 2026.