Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1990
NPI: 1033316682
Practice Locations (2)
1955 SUNNY CREST DR, SUITE 108
FULLERTON, CA 928353653
7144410133
1955 SUNNYCREST DR, SUITE 108
FULLERTON, CA 928353653
Source: CMS National Downloadable File, September 2026.