Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1992
NPI: 1477637049
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9333 ROSECRANS AVE
BELLFLOWER, CA 907062141
5624613000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9449 IMPERIAL HWY
DOWNEY, CA 902422814
5624613000
Source: CMS National Downloadable File, September 2026.