Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1083817399
Practice Locations (1)
SOUTH BAY SURGICAL ASSOCIATES MEDICAL GROUP INC
865 3RD AVE, SUITE 112
CHULA VISTA, CA 919111300
6194257470
Source: CMS National Downloadable File, September 2026.