Medical school: AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated: 2000
NPI: 1639136344
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.