Medical school: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1578630620
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
18081 BEACH BLVD
HUNTINGTON BEACH, CA 926481304
8889882800
Source: CMS National Downloadable File, September 2026.