Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2012
Offers telehealth
NPI: 1750657193
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
Source: CMS National Downloadable File, September 2026.