Graduated: 2023
NPI: 1942061361
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8250 WOODMAN AVE
PANORAMA CITY, CA 914025427
8183752000
MDRS SPINE AND SPORT INC
101 HODENCAMP RD, SUITE 102
THOUSAND OAKS, CA 913605831
8054969944
Source: CMS National Downloadable File, September 2026.