Graduated: 1993
NPI: 1477620342
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
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3900 E PACIFIC COAST HWY
LONG BEACH, CA 908042013
5629862200
Source: CMS National Downloadable File, September 2026.