Graduated: 2006
NPI: 1225289580
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1900 E 4TH ST
SANTA ANA, CA 927053910
7149674760
Source: CMS National Downloadable File, September 2026.