Graduated: 2005
NPI: 1194892968
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
615 W AVE L
LANCASTER, CA 935347211
6617297100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.