Graduated: 2018
NPI: 1497313639
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
EISENHOWER MEDICAL CENTER
39000 BOB HOPE DR
RANCHO MIRAGE, CA 922703221
7603403911
EISENHOWER MEDICAL CENTER
39950 VISTA DEL SOL
RANCHO MIRAGE, CA 922703206
7603400053
Source: CMS National Downloadable File, September 2026.