Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1487627907
Practice Locations (1)
EASTLAKE FAMILY MEDICAL INC.
2452 FENTON ST, SUITE 301
CHULA VISTA, CA 919144552
6199464073
Source: CMS National Downloadable File, September 2026.