Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1023110343
Practice Locations (2)
RIVERSIDE FACULTY MEDICAL GROUP INC
26520 CACTUS AVE
MORENO VALLEY, CA 925553927
9516561500
COUNTY OF RIVERSIDE
26600 CACTUS AVE, SUITE 300
MORENO VALLEY, CA 925553901
9519889500
Source: CMS National Downloadable File, September 2026.