Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1952668048
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.