Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1992
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1760531081
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
Source: CMS National Downloadable File, September 2026.