Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1992853717
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.