Graduated: 2018
NPI: 1154980746
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
990 AVENIDA VISTA HERMOSA
SAN CLEMENTE, CA 926736360
9494568668
Source: CMS National Downloadable File, September 2026.