Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1538217443
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5893 COPLEY DR
SAN DIEGO, CA 921117906
8586165499
Source: CMS National Downloadable File, September 2026.