Graduated: 2013
NPI: 1477982114
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
19201 BEAR VALLEY RD
APPLE VALLEY, CA 923082702
7602474111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.