Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1407957509
Practice Locations (2)
SAN JOAQUIN FACULTY MEDICAL GROUP
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686600
COUNTY OF SAN JOAQUIN
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686000
Source: CMS National Downloadable File, September 2026.