Graduated: 1988
NPI: 1811143134
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1010 N EL CAMINO REAL
ENCINITAS, CA 920241320
7606331406
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.