Medical school: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated: 2016
NPI: 1184094849
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.