Graduated: 1992
NPI: 1073557351
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12761 SCHABARUM AVE
IRWINDALE, CA 917066807
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
615 W AVE L
LANCASTER, CA 935347211
6617297100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.