Graduated: 2021
NPI: 1154053528
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9550 ESCONDIDO AVE
HESPERIA, CA 923459120
8335742273
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14011 PARK AVE
VICTORVILLE, CA 923922413
8887500036
Source: CMS National Downloadable File, September 2026.