Graduated: 1999
NPI: 1962603852
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 921202507
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4650 PALM AVE
SAN DIEGO, CA 921548404
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9455 CLAIREMONT MESA BLVD
SAN DIEGO, CA 921231297
8585731504
Source: CMS National Downloadable File, September 2026.