Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1997
NPI: 1417008731
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1843 /2 S LA CIENEGA BLVD
LOS ANGELES, CA 900354603
3238572673
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
Source: CMS National Downloadable File, September 2026.