Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1780608489
Practice Locations (2)
COUNTY OF RIVERSIDE
26600 CACTUS AVE
MORENO VALLEY, CA 925553901
COUNTY OF RIVERSIDE
308 E SAN JACINTO AVE
PERRIS, CA 925702878
9519406700
Source: CMS National Downloadable File, September 2026.