Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1275695603
Practice Locations (4)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
26520 CACTUS AVE
MORENO VALLEY, CA 925553927
9514864000
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
26520 CACTUS AVE, SUITE 2021
MORENO VALLEY, CA 925553927
9514865700
COUNTY OF RIVERSIDE
26600 CACTUS AVE, SUITE 300
MORENO VALLEY, CA 925553901
9519889500
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
2195 CLUB CTR DR
SAN BERNARDINO, CA 924084162
9098351750
Source: CMS National Downloadable File, September 2026.