Graduated: 2022
NPI: 1417698903
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
IHA HEALTH SERVICES CORPORATION
36475 5 MILE RD
LIVONIA, MI 481541971
7345839125
IHA HEALTH SERVICES CORPORATION
44428 WOODWARD AVE, SUITE 102
PONTIAC, MI 483415009
7347128700
Source: CMS National Downloadable File, September 2026.