Graduated: 2021
NPI: 1356014047
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
23781 MAQUINA
MISSION VIEJO, CA 926912716
8889882800
Source: CMS National Downloadable File, September 2026.