Graduated: 2023
NPI: 1851179154
Practice Locations (2)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST
LOMA LINDA, CA 923542804
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
901 SAN BERNARDINO RD, SUITE 104AND302
UPLAND, CA 917864912
9095584000
Source: CMS National Downloadable File, September 2026.