Graduated: 2020
NPI: 1356977052
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
SANTA MONICA MEDICAL INSTITUTE INC
1908 SANTA MONICA BLVD, SUITE 3
SANTA MONICA, CA 904041927
3108295475
Source: CMS National Downloadable File, September 2026.