Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1740450956
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
75036 GERALD FORD DR
PALM DESERT, CA 922112080
8668830119
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.