Graduated: 2013
NPI: 1063962884
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
18287 COLLIER AVE
LAKE ELSINORE, CA 925302755
9516742620
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.