Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2021
NPI: 1740855055
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
365 E HILLCREST DR
THOUSAND OAKS, CA 913605820
8053747433
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.