Medical school: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated: 2000
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1083781835
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
Source: CMS National Downloadable File, September 2026.