Graduated: 2004
NPI: 1720039696
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOCAL ANESTHESIA SOLUTIONS INC
1401 S GRAND AVE
LOS ANGELES, CA 900153010
2137425910
Source: CMS National Downloadable File, September 2026.