Graduated: 2001
Also: PSYCHIATRY
NPI: 1043302052
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12669 ENCINITAS AVE
SYLMAR, CA 913423635
8776080044
Source: CMS National Downloadable File, September 2026.