Graduated: 2024
NPI: 1538975552
Practice Locations (2)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST
LOMA LINDA, CA 923542804
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
25455 BARTON RD, SUITE 108A
LOMA LINDA, CA 923543139
9095584000
Source: CMS National Downloadable File, September 2026.