Graduated: 1979
NPI: 1386858272
Practice Locations (2)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11370 ANDERSON ST
LOMA LINDA, CA 923543450
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
2195 CLUB CTR DR
SAN BERNARDINO, CA 924084162
9098351750
Source: CMS National Downloadable File, September 2026.