Graduated: 1994
NPI: 1427285097
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3460 E LA PALMA AVE
ANAHEIM, CA 928062020
7146442010
3224 SANTA ANA ST
SOUTH GATE, CA 902802306
7148550777
Source: CMS National Downloadable File, September 2026.