Graduated: 2011
NPI: 1609149434
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
30340 HAUN RD
MENIFEE, CA 925846806
9517236151
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
Source: CMS National Downloadable File, September 2026.