Graduated: 2010
NPI: 1932427895
Practice Locations (2)
COUNTY OF VENTURA
300 HILLMONT AVE
VENTURA, CA 930031651
8056543306
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.