Graduated: 2015
NPI: 1447637392
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
430 E AVENIDA DE LOS ARBOLES, SUITE 101
THOUSAND OAKS, CA 913603017
8052410151
Source: CMS National Downloadable File, September 2026.