Graduated: 2020
NPI: 1467028373
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
WOUND CARE 360 ADVANCED SOLUTIONS INC
ONTARIO, CA 91764
7602867826
Source: CMS National Downloadable File, September 2026.