Graduated: 1996
NPI: 1649478918
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
110 N LA BREA AVE
INGLEWOOD, CA 903011708
6104193310
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6041 CADILLAC AVE
LOS ANGELES, CA 900341702
8009548000
CALIFORNIA LUNA CARE PHYSICAL THERAPY PC
16185 LOS GATOS BLVD, SUITE 205
LOS GATOS, CA 950324569
8665253175
Source: CMS National Downloadable File, September 2026.