Graduated: 1996
NPI: 1255489217
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25965 NORMANDIE AVE
HARBOR CITY, CA 907103416
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25975 NORMANDIE AVE
HARBOR CITY, CA 907103416
3102576115
COUNTY OF LOS ANGELES
5850 S MAIN ST
LOS ANGELES, CA 900031215
3238976000
Source: CMS National Downloadable File, September 2026.