Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1999
Also: RADIATION ONCOLOGY
NPI: 1700964392
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.