Graduated: 2020
NPI: 1023628435
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2055 KELLOGG AVE
CORONA, CA 928793111
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3951 VAN BUREN BLVD
RIVERSIDE, CA 925033620
9093527002
Source: CMS National Downloadable File, September 2026.