Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1417016031
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
11911 CENTRAL AVE
CHINO, CA 917101906
8887500036
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.