Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1679644561
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12801 CROSSROADS PKWY S
CITY OF INDUSTRY, CA 917463502
8007801277
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.