Graduated: 1980
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1295734721
Practice Locations (2)
ENTRUST MEDICAL CORPORATION
1140 W LA VETA AVE, SUITE 520
ORANGE, CA 928684227
7145432000
ENTRUST MEDICAL CORPORATION
1310 W STEWART DR, SUITE 502
ORANGE, CA 928683856
7144501047
Source: CMS National Downloadable File, September 2026.