Graduated: 1995
NPI: 1073661054
Practice Locations (3)
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
4760 W SUNSET BLVD
LOS ANGELES, CA 900276063
3237834011
Source: CMS National Downloadable File, September 2026.