Graduated: 2012
NPI: 1184987034
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
400 CRAVEN RD
SAN MARCOS, CA 920784201
6195285000
Source: CMS National Downloadable File, September 2026.