Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2008
NPI: 1275789000
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3750 GRAND AVE
CHINO, CA 917105478
8887500036
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.