Graduated: 2021
NPI: 1932817897
Practice Locations (3)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST
LOMA LINDA, CA 923542804
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11370 ANDERSON ST
LOMA LINDA, CA 923543450
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
1500 W W COVINA PKWY
WEST COVINA, CA 917902708
6264309991
Source: CMS National Downloadable File, September 2026.