Medical school: IRVINE CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1974
NPI: 1235182924
Practice Locations (2)
23961 CALLE DE LA MAGDALENA, STE229
LAGUNA HILLS, CA 926533613
23961 CALLE DE LA MAGDALENA, SUITE 229
LAGUNA HILLS, CA 926533600
9494399322
Source: CMS National Downloadable File, September 2026.