Graduated: 2013
NPI: 1396139556
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
72549 HWY 111
PALM DESERT, CA 922603306
7603419307
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.