Graduated: 1999
NPI: 1629145644
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12100 EUCLID ST
GARDEN GROVE, CA 928403304
8889882800
Source: CMS National Downloadable File, September 2026.