Graduated: 1987
NPI: 1962430579
Practice Locations (5)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25821 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25825 VERMONT AVE
HARBOR CITY, CA 907103518
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25965 NORMANDIE AVE
HARBOR CITY, CA 907103416
3103255111
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
25975 NORMANDIE AVE
HARBOR CITY, CA 907103416
3102576115
PROHEALTH PARTNERS, A MEDICAL GROUP
5750 DOWNEY AVE, SUITE 100
LAKEWOOD, CA 907121411
5626303105
Source: CMS National Downloadable File, September 2026.