Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2001
NPI: 1750439741
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.