Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1980
NPI: 1861619355
Practice Locations (1)
PACIFIC CENTRAL COAST HEALTH CENTERS
2238 BAYVIEW HEIGHTS DR, SUITE G
LOS OSOS, CA 934023930
8055431305
Source: CMS National Downloadable File, September 2026.