Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1679621726
Practice Locations (2)
1681 N WATERMAN AVE
SAN BERNARDINO, CA 924045112
1220 HEMLOCK WAY, SUITE 108
SANTA ANA, CA 927073652
7145402272
Source: CMS National Downloadable File, September 2026.