Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1609924646
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
615 W AVE L
LANCASTER, CA 935347211
6617297100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4502 E AVE S
PALMDALE, CA 935524480
6615537534
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.