Medical school: ILLINOIS MEDICAL COLLEGE
Graduated: 1980
NPI: 1629071725
Practice Locations (2)
SOCAL FOOT CARE PC
1147 E GRAND AVE
ESCONDIDO, CA 920253219
7607381583
SOCAL FOOT CARE PC
9850 GENESEE AVE, SUITE 510
LA JOLLA, CA 920371213
8584509218
Source: CMS National Downloadable File, September 2026.