Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1989
NPI: 1396786497
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2103 E GONZALES RD
OXNARD, CA 930363757
8059886300
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
888 S HILL RD
VENTURA, CA 930038400
8054776400
Source: CMS National Downloadable File, September 2026.