Graduated: 2003
NPI: 1972619450
Practice Locations (4)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
3250 FORDHAM ST
SAN DIEGO, CA 921105339
6195285000
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4405 VANDEVER AVE
SAN DIEGO, CA 921203315
6195166606
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
Source: CMS National Downloadable File, September 2026.