Graduated: 2014
NPI: 1760894240
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
43112 15TH ST W
LANCASTER, CA 935346219
6617262378
EM ALLIANCE CALIFORNIA APC
25500 MEDICAL CTR DR
MURRIETA, CA 925625965
9516966000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.