Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2018
NPI: 1609370014
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12801 CROSSROADS PKWY S
CITY OF INDUSTRY, CA 917463502
8007801277
Source: CMS National Downloadable File, September 2026.