Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1265664452
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
789 E COOLEY DR
COLTON, CA 923244007
8887500036
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.