Graduated: 1999
NPI: 1679557896
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
400 CRAVEN RD
SAN MARCOS, CA 920784201
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
780 SHADOWRIDGE DR
VISTA, CA 920837986
6195285000
Source: CMS National Downloadable File, September 2026.