Graduated: 2015
NPI: 1356729552
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1511 W GARVEY AVE N
WEST COVINA, CA 917902138
6268564820
Source: CMS National Downloadable File, September 2026.