Graduated: 2003
NPI: 1407971906
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1336 BRIDGEGATE DR
DIAMOND BAR, CA 917653955
8007801277
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
Source: CMS National Downloadable File, September 2026.