Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 1994
Also: GENERAL PRACTICE
NPI: 1760427579
Practice Locations (2)
3680E IMPERIAL HWY 410
LYNWOOD, CA 902622692
3106392220
15745 PARAMOUNT BLVD
PARAMOUNT, CA 907234332
5628082273
Source: CMS National Downloadable File, September 2026.