Graduated: 1982
NPI: 1013020619
Practice Locations (3)
PACIFIC HEALTH MEDICAL GROUP
319 S BRAND BLVD
GLENDALE, CA 912041701
8182400006
1909 N WATERMAN AVE, SUITE 2
San Bernardino, CA 924044842
1738 N WATERMAN AVE, SUITE 5
SAN BERNARDINO, CA 924045131
9098887700
Source: CMS National Downloadable File, September 2026.