Graduated: 2020
NPI: 1609498591
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
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
Source: CMS National Downloadable File, September 2026.