Graduated: 2016
NPI: 1912452368
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SDA SERVICES OF CA
25915 BARTON RD, SUITE 101
LOMA LINDA, CA 923543818
7143946465
Source: CMS National Downloadable File, September 2026.