Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1985
NPI: 1083781942
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
400 S SEPULVEDA BLVD, SUITE 100
MANHATTAN BEACH, CA 902666847
3109374300
Source: CMS National Downloadable File, September 2026.