Graduated: 1988
Also: FAMILY PRACTICE
Offers telehealth
NPI: 1487936902
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
7963 VAN NUYS BLVD, SUITE 101
PANORAMA CITY, CA 914026071
8189889818
Source: CMS National Downloadable File, September 2026.