Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1991
NPI: 1518015445
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12761 SCHABARUM AVE
IRWINDALE, CA 917066807
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.