Graduated: 2020
NPI: 1780277145
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13640 ROSCOE BLVD
PANORAMA CITY, CA 914023904
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.