Graduated: 1997
NPI: 1699805846
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1502 W W COVINA PKWY
WEST COVINA, CA 917902703
6269604845
Source: CMS National Downloadable File, September 2026.