Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1548351240
Practice Locations (3)
PO BOX, SUITE 3897
HEMET, CA 925463897
1605 AVOCADO AVE
NEWPORT BEACH, CA 926607725
1417 S MINNESOTA AVE
SIOUX FALLS, SD 571051715
Source: CMS National Downloadable File, September 2026.