Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1245290360
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
18600 S FIGUEROA ST
GARDENA, CA 902484505
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
Source: CMS National Downloadable File, September 2026.