Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1124087671
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1183 E FOOTHILL BLVD
UPLAND, CA 917864079
9093677000
Source: CMS National Downloadable File, September 2026.