Graduated: 2023
NPI: 1952185050
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
43112 15TH ST W
LANCASTER, CA 935346219
6617262378
TARZANA TREATMENT CENTERS INC
320 E PALMDALE BLVD
PALMDALE, CA 935504598
8009961051
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
13652 CANTARA ST
PANORAMA CITY, CA 914025423
8183752000
TARZANA TREATMENT CENTERS INC
18646 OXNARD ST
TARZANA, CA 913561411
8009961051
Source: CMS National Downloadable File, September 2026.