Graduated: 2007
NPI: 1437209343
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
17284 SLOVER AVE
FONTANA, CA 923377584
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.