Graduated: 2023
NPI: 1891476958
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
GENESIS HEALTHCARE PARTNERS PC
10 CONGRESS ST, SUITE 410
PASADENA, CA 911053023
6264122838
Source: CMS National Downloadable File, September 2026.