Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 2014
NPI: 1699188904
Practice Locations (4)
ENCINO OPTOMETRIC CENTER CORP
16550 VENTURA BLVD, SUITE 312
ENCINO, CA 914362034
8189868860
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8250 WOODMAN AVE
PANORAMA CITY, CA 914025427
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
27107 TOURNEY RD
SANTA CLARITA, CA 913551860
6612222323
Source: CMS National Downloadable File, September 2026.