Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2011
Also: GENERAL PRACTICE
NPI: 1588077861
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6911 CONVOY CT
SAN DIEGO, CA 921111014
8585731504
Source: CMS National Downloadable File, September 2026.