Graduated: 2020
NPI: 1508531302
Practice Locations (2)
RANCHO FAMILY MEDICAL GROUP INC
29791 HAUN RD, SUITE 100
MENIFEE, CA 925866540
9516764193
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
Source: CMS National Downloadable File, September 2026.