Graduated: 2001
NPI: 1679640577
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3733 SAN DIMAS ST, SUITE 101
BAKERSFIELD, CA 933011407
8003535400
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
Source: CMS National Downloadable File, September 2026.