Graduated: 1987
Offers telehealth
NPI: 1104893908
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14011 PARK AVE
VICTORVILLE, CA 923922413
8887500036
Source: CMS National Downloadable File, September 2026.