Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1993
Offers telehealth
NPI: 1013910140
Practice Locations (3)
235 NEW YORK RANCH RD, SUITE B
Jackson, CA 956422147
235 NEW YORK RANCH RD, SUITE B
JACKSON, CA 956422173
235 NEW YORK RANCH RD B, FOOTHILLS WOMENS CNT
JACKSON, CA 956422147
2092571057
Source: CMS National Downloadable File, September 2026.