Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1689769051
Practice Locations (3)
3553 CAMINO MIRA COSTA, SUITE A
San Clemente, CA 926723512
3553 CAMINO MIRA COSTA, A
SAN CLEMENTE, CA 926723512
9493695932
3553 CAMINO MIRA COSTA A
SAN CLEMENTE, CA 926723512
Source: CMS National Downloadable File, September 2026.