Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1992
NPI: 1790852507
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
28150 KELLER RD
MURRIETA, CA 925632432
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.