Graduated: 2021
NPI: 1275188401
Practice Locations (2)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11370 ANDERSON ST
LOMA LINDA, CA 923543450
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
8599 HAVEN AVE, SUITE 102AND210
RANCHO CUCAMONGA, CA 917304849
9095582806
Source: CMS National Downloadable File, September 2026.