Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1999
NPI: 1922303528
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5300 MCCONNELL AVE
LOS ANGELES, CA 900667026
8335742273
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
Source: CMS National Downloadable File, September 2026.