Graduated: 2022
NPI: 1447967682
Practice Locations (2)
EASTERN VENTURA MEDICAL GROUP, INC.
1980 SEQUOIA AVE
SIMI VALLEY, CA 930633167
8055835555104
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.