Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1285782151
Practice Locations (1)
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
880 3RD AVE, A
CHULA VISTA, CA 919111305
6196624100
Source: CMS National Downloadable File, September 2026.