Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1995
NPI: 1649332404
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4405 VANDEVER AVE
SAN DIEGO, CA 921203315
6195166606
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4650 PALM AVE
SAN DIEGO, CA 921548404
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
780 SHADOWRIDGE DR
VISTA, CA 920837986
6195285000
Source: CMS National Downloadable File, September 2026.