Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1996
Also: FAMILY PRACTICE, GERIATRIC MEDICINE
NPI: 1497776934
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.