Graduated: 1978
NPI: 1700876323
Practice Locations (5)
10841 WHITE OAK AVE
RANCHO CUCAMONGA, CA 917303811
9095816400
1330 W COVINA BLVD
SAN DIMAS, CA 917733200
9092679138
1350 W COVINA BLVD
SAN DIMAS, CA 917733245
9095996811
999 SAN BERNARDINO RD
UPLAND, CA 917864920
9099852811
845 N LARK ELLEN
WEST COVINA, CA 917911069
6263395451
Source: CMS National Downloadable File, September 2026.