Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1995
Offers telehealth
NPI: 1417978644
Practice Locations (1)
IMPERIAL PRIMARY CARE MEDICAL GROUP
15625 IMPERIAL HWY
LA MIRADA, CA 906381627
5629023000233
Source: CMS National Downloadable File, September 2026.