Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1987
NPI: 1841359593
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8080 PKWY DR
LA MESA, CA 919422104
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.