Graduated: 1991
NPI: 1366629131
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9550 ESCONDIDO AVE
HESPERIA, CA 923459120
8335742273
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1301 CALIFORNIA ST
REDLANDS, CA 923742910
9098093222
Source: CMS National Downloadable File, September 2026.