Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1994
NPI: 1124025325
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.