Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1568533453
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
789 E COOLEY DR
COLTON, CA 923244007
8887500036
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.