Graduated: 2023
NPI: 1164117891
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2055 KELLOGG AVE
CORONA, CA 928793111
8669847483
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH INC
11980 MOUNT VERNON AVE
GRAND TERRACE, CA 923135172
9098641097
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12815 HEACOCK ST
MORENO VALLEY, CA 925533116
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.