Graduated: 1996
NPI: 1336371681
Practice Locations (6)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
27300 IRIS AVE
MORENO VALLEY, CA 925554802
9512430811
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
27350 IRIS AVE
MORENO VALLEY, CA 925554802
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
28150 KELLER RD
MURRIETA, CA 925632432
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.