Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2001
NPI: 1518903814
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8033 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
Source: CMS National Downloadable File, September 2026.