Graduated: 1998
NPI: 1659482107
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
11001 SEPULVEDA BLVD
MISSION HILLS, CA 913451413
8188384000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.