Medical school: RUTGERS SCHOOL OF DENTAL MEDICINE
Graduated: 1987
NPI: 1962573873
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
26415 CARL BOYER DR
SANTA CLARITA, CA 913505824
6612903100
Source: CMS National Downloadable File, September 2026.