Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1841224185
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6640 ALTON PKWY
IRVINE, CA 926183734
9499325000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6650 ALTON PKWY
IRVINE, CA 926183734
9499325000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6670 ALTON PKWY
IRVINE, CA 926183734
9499325000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
23041 AVENIDA DE LA CARLOTA, SUITE 400
LAGUNA HILLS, CA 926531544
9494606600
Source: CMS National Downloadable File, September 2026.