Graduated: 2020
NPI: 1366184418
Practice Locations (2)
COUNTY OF RIVERSIDE
2499 E LAKESHORE DR
LAKE ELSINORE, CA 925304411
9514714200
COUNTY OF RIVERSIDE
308 E SAN JACINTO AVE
PERRIS, CA 925702878
9519406700
Source: CMS National Downloadable File, September 2026.