Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1841291408
Practice Locations (1)
PACIFIC HERITAGE MEDICAL GROUP INC
1805 MEDICAL CTR DR
SAN BERNARDINO, CA 924111217
8185189715
Source: CMS National Downloadable File, September 2026.