Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2016
NPI: 1174972681
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14305 MERIDIAN PKWY
RIVERSIDE, CA 925183034
9512517300
Source: CMS National Downloadable File, September 2026.