Medical school: MEDICAL COLLEGE OF PENNSYLVANIA
Graduated: 1998
NPI: 1144378035
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
250 W SAN JOSE AVE
CLAREMONT, CA 917115207
9096252311
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.