Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1997
NPI: 1780743419
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2620 LAS POSAS RD
CAMARILLO, CA 930103400
8053832100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
888 S HILL RD
VENTURA, CA 930038400
8054776400
Source: CMS National Downloadable File, September 2026.