Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1669483004
Practice Locations (1)
COLORADO PERMANENTE MEDICAL GROUP PC
12249 PINE BLUFFS WAY, KAISER PERMANENTE PARKER MEDICAL
PARKER, CO 801344428
3033384545
Source: CMS National Downloadable File, September 2026.