Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1990
NPI: 1740237163
Practice Locations (3)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER, SUITE 54701
LOS ANGELES, CA 900744701
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
26520 CACTUS AVE
MORENO VALLEY, CA 925553927
9514864000
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
26520 CACTUS AVE, SUITE 2021
MORENO VALLEY, CA 925553927
9514865700
Source: CMS National Downloadable File, September 2026.