Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1508849282
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
1375 E 20TH AVE, KAISER PERMANENTE SKYLINE MEDICAL OFFICES
DENVER, CO 802055422
3033384545
Source: CMS National Downloadable File, September 2026.