Graduated: 1996
NPI: 1790783942
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1505 N EDGEMONT ST
LOS ANGELES, CA 900275209
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4725 -4733 SUNSET BLVD
LOS ANGELES, CA 900276021
3237834011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
Source: CMS National Downloadable File, September 2026.