Graduated: 2004
NPI: 1104136381
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1515 N VERMONT AVE
LOS ANGELES, CA 900275337
3237834011
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
145 HODENCAMP RD
THOUSAND OAKS, CA 913605810
8885153500
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.