Graduated: 1994
NPI: 1861506743
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8033 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
Source: CMS National Downloadable File, September 2026.