Graduated: 1995
NPI: 1447357124
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3330 CENTRE LAKE DR
ONTARIO, CA 917611211
9092714770
INLAND PSYCHIATRIC MEDICAL GROUP INC
8710 MONROE CT, SUITE 150
RANCHO CUCAMONGA, CA 917304885
9099414870
Source: CMS National Downloadable File, September 2026.