Graduated: 1981
NPI: 1316029317
Practice Locations (2)
EMANATE HEALTH MEDICAL CARE FOUNDATION
1115 S SUNSET AVE
WEST COVINA, CA 917903940
EMANATE HEALTH MEDICAL CARE FOUNDATION
1135 S SUNSET AVE, SUITE 401
WEST COVINA, CA 917903921
6267328391
Source: CMS National Downloadable File, September 2026.