Graduated: 2008
NPI: 1942453709
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5250 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 916013186
8887785000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
Source: CMS National Downloadable File, September 2026.