Graduated: 2005
NPI: 1700946977
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
VASA ANESTHESIA PROFESSIONAL CORPORATION
8741 ALDEN DR, SUITE C
LOS ANGELES, CA 900483692
3236938832
Source: CMS National Downloadable File, September 2026.