Graduated: 2006
NPI: 1891090163
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2295 S VINEYARD AVE
ONTARIO, CA 917617925
9097245000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
325 W HOSPITALITY LN
SAN BERNARDINO, CA 924083243
8662053595
Source: CMS National Downloadable File, September 2026.