Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1609943588
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8250 WOODMAN AVE
PANORAMA CITY, CA 914025427
8183752000
Source: CMS National Downloadable File, September 2026.