Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Also: GENERAL PRACTICE
NPI: 1619036225
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
17140 BERNARDO CTR DR
SAN DIEGO, CA 921282093
8002905000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.