Graduated: 1994
NPI: 1437175460
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1630 E MAIN ST
EL CAJON, CA 920215204
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3875 AVOCADO BLVD
LA MESA, CA 919417303
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4650 PALM AVE
SAN DIEGO, CA 921548404
6195285000
Source: CMS National Downloadable File, September 2026.