Graduated: 2018
NPI: 1063984318
Practice Locations (4)
ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
3300 RENNER DR
FORTUNA, CA 955403120
7077253361
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4725 -4733 SUNSET BLVD
LOS ANGELES, CA 900276021
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4867 W SUNSET BLVD
LOS ANGELES, CA 900275969
3237834011
Source: CMS National Downloadable File, September 2026.