Graduated: 1988
NPI: 1861441701
Practice Locations (3)
2776 PACIFIC AVE
LONG BEACH, CA 908062613
5629972000
3630 E IMPERIAL HWY
LYNWOOD, CA 902622609
3109008900
COUNTY OF RIVERSIDE
9990 COUNTY FARM RD, SUITE 2
RIVERSIDE, CA 925033542
9513584700
Source: CMS National Downloadable File, September 2026.