Graduated: 2002
NPI: 1629185467
Practice Locations (2)
EYE INSTITUTE OF CALIFORNIA MEDICAL GROUP INC
311 DEL MAR AVE
CHULA VISTA, CA 919103908
6194723355
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
Source: CMS National Downloadable File, September 2026.