Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2015
Offers telehealth
NPI: 1457746554
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.