Graduated: 2016
NPI: 1013370410
Practice Locations (2)
SAC HEALTH SYSTEM
1454 E 2ND ST
SAN BERNARDINO, CA 924080118
9093827100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.