Medical school: ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1871977645
Practice Locations (3)
840 N PENNSYLVANIA LANE
Glendora, CA 91741
125 N RAYMOND AVE, UNIT 212
PASADENA, CA 911034535
5344 CIRCLE DR, APT 21
SHERMAN OAKS, CA 914015640
Source: CMS National Downloadable File, September 2026.