Graduated: 2020
NPI: 1346879418
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.