Graduated: 2019
NPI: 1003445768
Practice Locations (2)
3527 OCEAN VIEW BLVD
GLENDALE, CA 912081211
7477457771
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
Source: CMS National Downloadable File, September 2026.