Graduated: 1990
NPI: 1811978364
Practice Locations (3)
14148 FRANCISQUITO AVE
BALDWIN PARK, CA 917066120
9092679138
1330 W COVINA BLVD, SUITE 206
SAN DIMAS, CA 917733200
9092679138
845 N LARK ELLEN AVE
WEST COVINA, CA 917911069
9092679138
Source: CMS National Downloadable File, September 2026.