Graduated: 2006
NPI: 1376802140
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6 WILLARD
IRVINE, CA 926044694
9492625600
Source: CMS National Downloadable File, September 2026.