Graduated: 1989
NPI: 1649242728
Practice Locations (2)
COUNTY OF LOS ANGELES
335 E AVE I
LANCASTER, CA 935351916
6614714232
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4867 W SUNSET BLVD
LOS ANGELES, CA 900275969
3237834011
Source: CMS National Downloadable File, September 2026.