Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1720183650
Practice Locations (2)
VISTA COMMUNITY CLINIC
1000 VALE TERRACE DR
Vista, CA 920845218
VISTA COMMUNITY CLINIC
1000 VALE TERRACE DR
VISTA, CA 920845218
7606315000
Source: CMS National Downloadable File, September 2026.