Graduated: 2021
NPI: 1659966257
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
CEP AMERICA - CALIFORNIA
1001 N TUSTIN AVE
SANTA ANA, CA 927053502
7148353555
Source: CMS National Downloadable File, September 2026.