Graduated: 1999
NPI: 1376691220
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8080 PKWY DR
LA MESA, CA 919422104
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3250 FORDHAM ST
SAN DIEGO, CA 921105339
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3851 SHAW RIDGE RD
SAN DIEGO, CA 921302807
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6911 CONVOY CT
SAN DIEGO, CA 921111014
8585731504
Source: CMS National Downloadable File, September 2026.