Graduated: 1991
NPI: 1144273491
Practice Locations (2)
DEPARTMENT OF STATE HOSPITALS
3102 E HIGHLAND AVE
PATTON, CA 923697813
9166518811
ADVANCED SKIN CLINIC AND SURGERY PC
1310 SAN BERNARDINO RD, SUITE 207
UPLAND, CA 917864985
9099468600
Source: CMS National Downloadable File, September 2026.