Graduated: 1981
NPI: 1518034495
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8250 WOODMAN AVE
PANORAMA CITY, CA 914025427
8183752000
SAC HEALTH SYSTEM
1454 E 2ND ST
SAN BERNARDINO, CA 924080118
9093827100
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
26877 TOURNEY RD
SANTA CLARITA, CA 913551846
8887785000
Source: CMS National Downloadable File, September 2026.