Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
Also: SPORTS MEDICINE
NPI: 1073680807
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8250 WOODMAN AVE
PANORAMA CITY, CA 914025427
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
26877 TOURNEY RD
SANTA CLARITA, CA 913551846
8887785000
Source: CMS National Downloadable File, September 2026.