Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2019
NPI: 1194382739
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14011 PARK AVE
VICTORVILLE, CA 923922413
8887500036
Source: CMS National Downloadable File, September 2026.