Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1992
NPI: 1881742799
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
46900 MONROE ST, SUITE E
INDIO, CA 922014827
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.