Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1979
NPI: 1811068711
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
22550 SAVI RANCH PKWY
YORBA LINDA, CA 928874670
7146853500
Source: CMS National Downloadable File, September 2026.