Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1790929602
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
18600 S FIGUEROA ST
GARDENA, CA 902484505
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
Source: CMS National Downloadable File, September 2026.