Graduated: 1983
Also: ADDICTION MEDICINE
Offers telehealth
NPI: 1720135346
Practice Locations (2)
655 CAMINO DE LOS MARES
SAN CLEMENTE, CA 926732809
655 CAMINO DE LOS MARES, SUITE 124
SAN CLEMENTE, CA 926732809
9496619657
Source: CMS National Downloadable File, September 2026.