Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1997
NPI: 1922156827
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6860 AVENIDA ENCINAS
CARLSBAD, CA 920113201
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.