Graduated: 2015
NPI: 1669837456
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
19105 GOLDEN VALLEY RD
SANTA CLARITA, CA 913871428
8776080044
Source: CMS National Downloadable File, September 2026.