Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2000
NPI: 1326218348
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8080 PKWY DR
LA MESA, CA 919422104
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.