Graduated: 1988
NPI: 1609839299
Practice Locations (4)
8110 S HOUGHTON RD, SUITE 158
TUCSON, AZ 857474710
508 S BROOKHURST ST
Anaheim, CA 928042416
508 S BROOKHURST ST
ANAHEIM, CA 928042416
PO BOX, SUITE 15323
San Diego, CA 921755323
Source: CMS National Downloadable File, September 2026.