Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2015
NPI: 1164817946
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
EMERGENCY MEDICINE SERVICES OF TX, PLLC
12285 BANDERA RD
HELOTES, TX 780234772
2105752285
Source: CMS National Downloadable File, September 2026.