Graduated: 1983
NPI: 1053434548
Practice Locations (2)
393 E WALNUT ST
PASADEN, CA 911880001
393 E WALNUT ST FL, 3 PHR GROUP PROVIDER ENROLLMENT UNIT
Pasadena, CA 911880001
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 1983
NPI: 1053434548
393 E WALNUT ST
PASADEN, CA 911880001
393 E WALNUT ST FL, 3 PHR GROUP PROVIDER ENROLLMENT UNIT
Pasadena, CA 911880001
Source: CMS National Downloadable File, September 2026.