Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1114087046
Practice Locations (1)
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC
604 N MAGNOLIA AVE, SUITE 100
CLOVIS, CA 936119205
5593200531
Source: CMS National Downloadable File, September 2026.