Graduated: 2025
NPI: 1639934821
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
MIDWEST ANESTHESIA ASSOCIATES, PA
9100 W 14TH ST
SHAWNEE MISSION, KS 662044004
9136322230
Source: CMS National Downloadable File, September 2026.