Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1998
Offers telehealth
NPI: 1073672739
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12815 HEACOCK ST
MORENO VALLEY, CA 925533116
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.