Graduated: 1996
Offers telehealth
NPI: 1962484519
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5330 SAN BERNARDINO ST
MONTCLAIR, CA 917632952
9093993700
Source: CMS National Downloadable File, September 2026.