Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1998
NPI: 1124116371
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
Source: CMS National Downloadable File, September 2026.