Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 2004
Also: SPORTS MEDICINE
NPI: 1205984226
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
46900 MONROE ST, SUITE E
INDIO, CA 922014827
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
75036 GERALD FORD DR
PALM DESERT, CA 922112080
8668830119
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.