Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Offers telehealth
NPI: 1265453435
Practice Locations (2)
374 H ST, SUITE 202
CHULA VISTA, CA 919105547
6194264546
1808 CABLE ST
SAN DIEGO, CA 921073103
6192214490
Source: CMS National Downloadable File, September 2026.