Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1998
NPI: 1851479463
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3250 FORDHAM ST
SAN DIEGO, CA 921105339
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4405 VANDEVER AVE
SAN DIEGO, CA 921203315
6195166606
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.