Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1991
NPI: 1770506206
Practice Locations (1)
SAN GABRIEL HEALTH CLINIC
2630 SAN GABRIEL BLVD, SUITE 105
ROSEMEAD, CA 917705204
6262882007
Source: CMS National Downloadable File, September 2026.