Graduated: 2011
NPI: 1215313150
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.