Graduated: 2019
NPI: 1669027090
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
15446 S WESTERN AVE
GARDENA, CA 902494319
3102175300
ASCEND PHYSICAL THERAPY INC
12465 LEWIS ST, SUITE 101
GARDEN GROVE, CA 928404658
7147038477
Source: CMS National Downloadable File, September 2026.