Graduated: 2019
NPI: 1477016533
Practice Locations (2)
CULVER EMERGENCY MEDICAL GROUP
3828 DELMAS TER
CULVER CITY, CA 902322713
3102024745
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
Source: CMS National Downloadable File, September 2026.