Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1988
NPI: 1740357631
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8033 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
Source: CMS National Downloadable File, September 2026.