Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1994
Also: SPORTS MEDICINE
NPI: 1568668366
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4725 -4733 SUNSET BLVD
LOS ANGELES, CA 900276021
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4760 W SUNSET BLVD
LOS ANGELES, CA 900276063
3237834011
Source: CMS National Downloadable File, September 2026.