Graduated: 2006
NPI: 1861514861
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1255 W ARROW HWY
SAN DIMAS, CA 917732340
9093942526
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1249 S SUNSET AVE
WEST COVINA, CA 917903960
8007801277
Source: CMS National Downloadable File, September 2026.