Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 2004
NPI: 1306078068
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1900 E 4TH ST
SANTA ANA, CA 927053910
7149674760
Source: CMS National Downloadable File, September 2026.