Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1984
NPI: 1548460603
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4650 PALM AVE
SAN DIEGO, CA 921548404
6195285000
Source: CMS National Downloadable File, September 2026.