Graduated: 2011
NPI: 1083904940
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC.
4650 LINCOLN BLVD
MARINA DEL REY, CA 902926306
3101185200
Source: CMS National Downloadable File, September 2026.