Graduated: 2023
NPI: 1073176020
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
BENEFIS HOSPITALS INC
1101 26TH ST S
GREAT FALLS, MT 594055161
4064555000
Source: CMS National Downloadable File, September 2026.