Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1993
NPI: 1063589836
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
501 N ORANGE ST
GLENDALE, CA 912031970
8009548000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4725 -4733 SUNSET BLVD
LOS ANGELES, CA 900276021
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4760 W SUNSET BLVD
LOS ANGELES, CA 900276063
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4867 W SUNSET BLVD
LOS ANGELES, CA 900275969
3237834011
Source: CMS National Downloadable File, September 2026.