Graduated: 2019
NPI: 1639639503
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4950 W SUNSET BLVD
LOS ANGELES, CA 900275822
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
Source: CMS National Downloadable File, September 2026.