Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1981
NPI: 1124105754
Practice Locations (1)
UNICARE COMMUNITY HEALTH CENTER, INC.
570 S MOUNT VERNON AVE, SUITE G
SAN BERNARDINO, CA 924102737
9098846700
Source: CMS National Downloadable File, September 2026.