Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1891798112
Practice Locations (1)
BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT
41870 GARSTIN DR
BIG BEAR LAKE, CA 923152088
90986665018315
Source: CMS National Downloadable File, September 2026.