Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1988
NPI: 1255457495
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12001 W WASHINGTON BLVD
LOS ANGELES, CA 900665801
3109154410
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
393 E WALNUT ST
PASADEN, CA 911880001
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
393 E WALNUT ST 3RD FL
PASADENA, CA 911880001
Source: CMS National Downloadable File, September 2026.