Graduated: 2007
NPI: 1043492143
Practice Locations (2)
900 E WASHINGTON ST, SUITE 155
COLTON, CA 923244196
9093702190
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.