Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2000
NPI: 1932299039
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2620 LAS POSAS RD
CAMARILLO, CA 930103400
8053832100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8033 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
888 S HILL RD
VENTURA, CA 930038400
8054776400
Source: CMS National Downloadable File, September 2026.