Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1811194970
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
15446 S WESTERN AVE
GARDENA, CA 902494319
3102175300
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
Source: CMS National Downloadable File, September 2026.