Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2001
NPI: 1942253646
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4949 MARKET ST
VENTURA, CA 930037851
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
888 S HILL RD
VENTURA, CA 930038400
8054776400
Source: CMS National Downloadable File, September 2026.