Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1988
NPI: 1801882253
Practice Locations (2)
427 E 17TH ST, SUITE C
Costa Mesa, CA 926273201
427 E 17TH ST, SUITE C
COSTA MESA, CA 926273201
9496422929
Source: CMS National Downloadable File, September 2026.