Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1679632277
Practice Locations (2)
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.