Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2004
NPI: 1952590747
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 921231297
8585731504
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
400 CRAVEN RD
SAN MARCOS, CA 920784201
6195285000
Source: CMS National Downloadable File, September 2026.