Graduated: 2013
NPI: 1306281837
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
OVERLAKE MEDICAL CLINICS LLC
1035 116TH AVE NE
BELLEVUE, WA 980044604
4256885072
Source: CMS National Downloadable File, September 2026.