Graduated: 1980
NPI: 1396806428
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
SOUTH CENTRAL FAMILY HEALTH CENTER
2417 W WHITTIER BLVD
MONTEBELLO, CA 906403040
3239084200
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.