Graduated: 1983
NPI: 1164461224
Practice Locations (2)
DE ANZA ORTHOPEDIC MEDICAL GROUP INC
26520 CACTUS AVE
MORENO VALLEY, CA 925553927
9514864000
SAN BERNARDINO MEDICAL ORTHOPAEDIC GROUP INC
1901 W LUGONIA AVE, SUITE 120 130
REDLANDS, CA 923749703
9095571600
Source: CMS National Downloadable File, September 2026.