Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1659317733
Practice Locations (2)
EMANATE HEALTH MEDICAL CARE FOUNDATION
1305 W ARROW HWY, SUITE 104
SAN DIMAS, CA 917732337
9093949004
EMANATE HEALTH MEDICAL CARE FOUNDATION
1115 S SUNSET AVE
WEST COVINA, CA 917903940
Source: CMS National Downloadable File, September 2026.