Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1999
NPI: 1528116472
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4201 W CHAPMAN AVE
ORANGE, CA 928681505
8889882800
Source: CMS National Downloadable File, September 2026.