Graduated: 2000
NPI: 1972670743
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
12300 SEAL BEACH BLVD
SEAL BEACH, CA 907402709
5625969887
Source: CMS National Downloadable File, September 2026.