Graduated: 1985
NPI: 1386703957
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
26877 TOURNEY RD
SANTA CLARITA, CA 913551846
8887785000
Source: CMS National Downloadable File, September 2026.