Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1578676300
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
17750 SHERMAN WAY, SUITE 100
RESEDA, CA 913358331
8188866700133
Source: CMS National Downloadable File, September 2026.