Graduated: 2020
NPI: 1891382495
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SPECTRUM EYECARE OPTOMETRY INC
425 W BONITA AVE, SUITE 110B
SAN DIMAS, CA 917732541
9093940462
Source: CMS National Downloadable File, September 2026.