Graduated: 2019
NPI: 1902466659
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12815 HEACOCK ST
MORENO VALLEY, CA 925533116
8669847483
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
14305 MERIDIAN PKWY
RIVERSIDE, CA 925183034
9512517300
Source: CMS National Downloadable File, September 2026.