Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1989
NPI: 1538100953
Practice Locations (2)
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
15630 18TH AVE
CLEARLAKE, CA 954229336
7079946486
121 PLAZA DR, SUITE 505
VALLEJO, CA 945913711
7076438891
Source: CMS National Downloadable File, September 2026.