Graduated: 2005
NPI: 1124189014
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
322 E THOUSAND OAKS BLVD
THOUSAND OAKS, CA 913605804
8885153500
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.