Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1821299520
Practice Locations (1)
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC.
4004 BEYER BLVD
SAN YSIDRO, CA 921732007
6194284463
Source: CMS National Downloadable File, September 2026.