Graduated: 1986
NPI: 1699726190
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
789 E COOLEY DR
COLTON, CA 923244007
8887500036
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10850 ARROW RTE
RANCHO CUCAMONGA, CA 917304833
8887500036
Source: CMS National Downloadable File, September 2026.