Graduated: 1974
NPI: 1720063464
Practice Locations (3)
2801 ATLANTIC AVE
LONG BEACH, CA 908061701
5629332000
10931 CHERRY ST
LOS ALAMITOS, CA 907202496
5625967700
10931 CHERRY ST, SUITE 200
LOS ALAMITOS, CA 907202445
Source: CMS National Downloadable File, September 2026.