Graduated: 2012
NPI: 1114303849
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3855 ALAMO ST, SUITE A
SIMI VALLEY, CA 930632104
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
888 S HILL RD
VENTURA, CA 930038400
8054776400
Source: CMS National Downloadable File, September 2026.