Graduated: 2020
NPI: 1154958916
Practice Locations (2)
SAC HEALTH SYSTEM
1454 E 2ND ST
SAN BERNARDINO, CA 924080118
9093827100
OCEAN SKIN AND VEIN INSTITUTE
3661 TORRANCE BLVD, SUITE 104
TORRANCE, CA 905034898
3103705670
Source: CMS National Downloadable File, September 2026.