Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1999
NPI: 1669466363
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3955 BONITA RD
BONITA, CA 919021230
6195285000
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
Source: CMS National Downloadable File, September 2026.