Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2006
NPI: 1154526192
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
COLORADO PERMANENTE MEDICAL GROUP PC
10350 E DAKOTA AVE, KAISER PERMANENTE REGIONAL OFFICE
DENVER, CO 802471314
3033384545
Source: CMS National Downloadable File, September 2026.