Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1980
Offers telehealth
NPI: 1902902653
Practice Locations (1)
PACIFIC CREST MEDICAL GROUP INC
34052 LA PLZ, SUITE 101
DANA POINT, CA 926292571
9494964369
Source: CMS National Downloadable File, September 2026.