Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1974
NPI: 1083781801
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
393 E WALNUT ST
PASADEN, CA 911880001
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
393 E WALNUT ST 3RD FL
PASADENA, CA 911880001
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.