Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2016
NPI: 1194170357
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
PERMANENTE MEDICAL GROUP INC
1150 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
Source: CMS National Downloadable File, September 2026.