Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2007
NPI: 1063625002
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3851 SHAW RIDGE RD
SAN DIEGO, CA 921302807
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
400 CRAVEN RD
SAN MARCOS, CA 920784201
6195285000
Source: CMS National Downloadable File, September 2026.