Graduated: 2017
NPI: 1639689284
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8999 BALBOA BLVD
NORTHRIDGE, CA 913252608
8776080044
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.