Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2005
NPI: 1144495201
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12001 W WASHINGTON BLVD
LOS ANGELES, CA 900665801
3109154410
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
714 N AVALON BLVD
WILMINGTON, CA 907445809
8885353668
Source: CMS National Downloadable File, September 2026.