Graduated: 1987
NPI: 1104067628
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
43112 15TH ST W
LANCASTER, CA 935346219
6617262378
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
26877 TOURNEY RD
SANTA CLARITA, CA 913551846
8887785000
Source: CMS National Downloadable File, September 2026.