Graduated: 1978
NPI: 1932181138
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
151 W WILLOW ST
POMONA, CA 917681829
9094691888
Source: CMS National Downloadable File, September 2026.