Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1194743864
Practice Locations (2)
UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP INC
801 S MAIN ST, SUITE 201
CORONA, CA 928823410
9517352700
UROLOGY CENTER OF SOUTHERN CALIFORNIA MEDICAL GROUP INC
3975 JACKSON ST, SUITE 308
RIVERSIDE, CA 925033951
9516878730
Source: CMS National Downloadable File, September 2026.