Graduated: 2002
NPI: 1386988483
Practice Locations (2)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
25828 REDLANDS BLVD, SUITE 102
REDLANDS, CA 923738451
9095586600
SAC HEALTH SYSTEM
1454 E 2ND ST
SAN BERNARDINO, CA 924080118
9093827100
Source: CMS National Downloadable File, September 2026.