Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1999
NPI: 1639246473
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
250 TRAVELODGE DR
EL CAJON, CA 920204126
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5893 COPLEY DR
SAN DIEGO, CA 921117906
8586165499
Source: CMS National Downloadable File, September 2026.