Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Also: PEDIATRIC MEDICINE
NPI: 1417970286
Practice Locations (1)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 925577907
9512475809
Source: CMS National Downloadable File, September 2026.