Graduated: 2007
NPI: 1720382690
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
INTERCOMMUNITY EMERGENCY MEDICAL GROUP
12401 WASHINGTON BLVD
WHITTIER, CA 906021006
5626980811
Source: CMS National Downloadable File, September 2026.