Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1467594838
Practice Locations (2)
1911 FOOTHILL BLVD, SUITE A
LA VERNE, CA 917503516
9095965900
1911 FOOTHILL BLVD A
LA VERNE, CA 917503516
Source: CMS National Downloadable File, September 2026.