Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1979
Offers telehealth
NPI: 1699749911
Practice Locations (1)
SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GRP INC
340 4TH AVE
CHULA VISTA, CA 919103883
6194228338
Source: CMS National Downloadable File, September 2026.