Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 1998
NPI: 1710076740
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3401 S HARBOR BLVD
SANTA ANA, CA 927047933
8889882800
Source: CMS National Downloadable File, September 2026.