Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1997
NPI: 1861551426
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4725 -4733 SUNSET BLVD
LOS ANGELES, CA 900276021
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
Source: CMS National Downloadable File, September 2026.