Medical school: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1225100753
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
411 N LAKEVIEW AVE
ANAHEIM, CA 928073028
7142794000
BUENA PARK MEDICAL GROUP
6301 BEACH BLVD, SUITE 101
BUENA PARK, CA 906214030
7149945290
Source: CMS National Downloadable File, September 2026.