Graduated: 1987
NPI: 1720130180
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 921231297
8585731504
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
360 RUSH DR
SAN MARCOS, CA 920787901
8335742273
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
780 SHADOWRIDGE DR
VISTA, CA 920837986
6195285000
Source: CMS National Downloadable File, September 2026.