Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1994
NPI: 1114903317
Practice Locations (5)
501 S BUENA VISTA ST
BURBANK, CA 915054809
8083911058
814 N HOLLYWOOD WAY
BURBANK, CA 915052831
8183911058
1211 W 6TH ST
ONTARIO, CA 917621103
9099808010
8241 ROCHESTER AVE, SUITE 120
RANCHO CUCAMONGA, CA 917300713
9099808010
741 S ORANGE AVE
WEST COVINA, CA 917902662
8183911058
Source: CMS National Downloadable File, September 2026.