Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1998
NPI: 1932276854
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9333 ROSECRANS AVE
BELLFLOWER, CA 907062141
5624613000
Source: CMS National Downloadable File, September 2026.