Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1710956412
Practice Locations (2)
1004 W FOOTHILL BLVD
UPLAND, CA 917863791
1004 W FOOTHILL BLVD, SUITE 200
UPLAND, CA 917863774
9099851908
Source: CMS National Downloadable File, September 2026.