Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1871541961
Practice Locations (2)
1791 E HOLT BLVD, UNIT 101
ONTARIO, CA 917612118
9094600354
ASANTE
2825 E BARNETT RD
MEDFORD, OR 975048332
5417897000
Source: CMS National Downloadable File, September 2026.