Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1740228576
Practice Locations (3)
24 FARRA ST
RANCHO MISSION VIEJO, CA 926941385
255 W MICHIGAN AVE, PO BOX 1123
JACKSON, MI 492041123
8905 SW NIMBUS AVE, SUITE 300
BEAVERTON, OR 970087162
Source: CMS National Downloadable File, September 2026.