Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1790837151
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3875 AVOCADO BLVD
LA MESA, CA 919417303
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.