Graduated: 2018
NPI: 1669969044
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14305 MERIDIAN PKWY
RIVERSIDE, CA 925183034
9512517300
Source: CMS National Downloadable File, September 2026.