Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1306935689
Practice Locations (2)
1135 S SUNSET AVE, SUITE 402
WEST COVINA, CA 917903938
1135 S SUNSET AVE ST, SUITE 402
WEST COVINA, CA 917903938
Source: CMS National Downloadable File, September 2026.