Graduated: 1976
NPI: 1174933105
Practice Locations (4)
1985 N MARSHALL AVE, SUITE 110
EL CAJON, CA 920201111
1985 N MARSHALL AVE, SUITE 110
EL CAJON, CA 920201192
6199714576
9225 CARLTON HILLS BLVD
SANTEE, CA 920717902
6192589732
9225 CARLTON HILLS BLVD, SUITE 18
SANTEE, CA 920712980
Source: CMS National Downloadable File, September 2026.