Graduated: 2021
NPI: 1063988830
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
23041 AVENIDA DE LA CARLOTA, SUITE 400
LAGUNA HILLS, CA 926531544
9494606600
Source: CMS National Downloadable File, September 2026.