Graduated: 1994
NPI: 1982750014
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5475 E LA PALMA AVE
ANAHEIM, CA 928072075
7142796088
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5 CENTERPOINTE DR
LA PALMA, CA 906231050
8889882800
Source: CMS National Downloadable File, September 2026.