Graduated: 2003
NPI: 1245401033
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1336 BRIDGEGATE DR
DIAMOND BAR, CA 917653955
8007801277
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.