Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2001
NPI: 1043407430
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.