Graduated: 2021
NPI: 1609454065
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
36450 INLAND VALLEY DR
WILDOMAR, CA 925959583
8669847483
Source: CMS National Downloadable File, September 2026.