Graduated: 2020
NPI: 1972971281
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
2601 E MAIN ST
VENTURA, CA 930032801
8054776350
COUNTY OF VENTURA
300 HILLMONT AVE
VENTURA, CA 930031651
8056526000
Source: CMS National Downloadable File, September 2026.