Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1991
NPI: 1366519100
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9333 ROSECRANS AVE
BELLFLOWER, CA 907062141
5624613000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12470 WHITTIER BLVD
WHITTIER, CA 906021017
5629073500
Source: CMS National Downloadable File, September 2026.