Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1144251067
Practice Locations (2)
400 S CALIFORNIA AVE, SUITE C
PARKER, AZ 853444426
9282591000
555 N D ST, SUITE 130
SAN BERNARDINO, CA 924011317
9098888154
Source: CMS National Downloadable File, September 2026.