Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1780609990
Practice Locations (1)
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
1620 ALPINE BLVD, SUITE 110
ALPINE, CA 919011103
6196624100
Source: CMS National Downloadable File, September 2026.