Graduated: 2020
NPI: 1992325989
Practice Locations (3)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
75036 GERALD FORD DR
PALM DESERT, CA 922112080
8668830119
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
10800 MAGNOLIA AVE
RIVERSIDE, CA 925053043
9513532000
RIVERSIDE EYE SPECIALISTS MEDICAL GROUP INC
4605 BROCKTON AVE, SUITE 100
RIVERSIDE, CA 925060107
9516864911
Source: CMS National Downloadable File, September 2026.