Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1891739694
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
12550 HESPERIA RD, SUITE 100
VICTORVILLE, CA 923955873
7602416666
IGNITE EMERGENCY PHYSICIANS A MEDICAL CORPORATION
16850 BEAR VALLEY RD
VICTORVILLE, CA 923955794
7602418000
Source: CMS National Downloadable File, September 2026.