Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 1984
NPI: 1265591846
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
27309 MADISON AVE
TEMECULA, CA 925905685
9513532000
Source: CMS National Downloadable File, September 2026.