Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1990
NPI: 1316147085
Practice Locations (1)
PACIFIC HEALTH SYSTEMS LP
610 EUCLID AVE, SUITE 200
NATIONAL CITY, CA 919502951
6192679257
Source: CMS National Downloadable File, September 2026.