Graduated: 1975
NPI: 1477578698
Practice Locations (2)
590 N SIERRA WAY
SAN BERNARDINO, CA 924104817
9094953595
BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION
598 N F ST
SAN BERNARDINO, CA 924103110
9097935511
Source: CMS National Downloadable File, September 2026.