Graduated: 1998
NPI: 1831258565
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
20940 BURBANK BLVD
WOODLAND HILLS, CA 913676601
8885153500
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.