Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2001
NPI: 1356303432
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9550 ESCONDIDO AVE
HESPERIA, CA 923459120
8335742273
Source: CMS National Downloadable File, September 2026.