Graduated: 2001
NPI: 1073899258
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3955 BONITA RD
BONITA, CA 919021230
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4405 VANDEVER AVE
SAN DIEGO, CA 921203315
6195166606
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.