Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 2017
NPI: 1962937011
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
365 E HILLCREST DR
THOUSAND OAKS, CA 913605820
8053747433
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.