Graduated: 2020
NPI: 1679180863
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
411 N LAKEVIEW AVE
ANAHEIM, CA 928073028
7142794000
POMONA COMMUNITY HEALTH CENTER
2680 E RIVERSIDE DR
ONTARIO, CA 917617307
9096307927
Source: CMS National Downloadable File, September 2026.