Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1987
Offers telehealth
NPI: 1134111958
Practice Locations (2)
LAKE FOREST MEDICAL GROUP, INC.
24401 MUIRLANDS BLVD, SUITE A
LAKE FOREST, CA 926303948
9497701950
EMANATE HEALTH MEDICAL CARE FOUNDATION
1115 S SUNSET AVE, SUITE 200
WEST COVINA, CA 917903940
6267328390
Source: CMS National Downloadable File, September 2026.