Graduated: 2021
NPI: 1275114951
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
COUNTY OF LOS ANGELES
7515 VAN NUYS BLVD
VAN NUYS, CA 914051949
8186273050
Source: CMS National Downloadable File, September 2026.