Graduated: 2009
NPI: 1568604221
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1511 W GARVEY AVE N
WEST COVINA, CA 917902138
6268564820
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 970159750
8008132000
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.