Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1023201100
Practice Locations (2)
13507 KIWI LN
GARDEN GROVE, CA 92844
27574 COMMERCE CTR DR, SUITE 232
TEMECULA, CA 925902536
Source: CMS National Downloadable File, September 2026.