Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1518038595
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10850 ARROW RTE
RANCHO CUCAMONGA, CA 917304833
8887500036
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1301 CALIFORNIA ST
REDLANDS, CA 923742910
9098093222
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14011 PARK AVE
VICTORVILLE, CA 923922413
8887500036
Source: CMS National Downloadable File, September 2026.