Graduated: 1980
NPI: 1942211552
Practice Locations (3)
OBHG CALIFORNIA PC
18300 US HWY 18
APPLE VALLEY, CA 923072206
8009672289
PROVIDENCE MEDICAL FOUNDATION
19341 BEAR VALLEY RD, SUITE 105
APPLE VALLEY, CA 923085152
7602407485
OBHG CALIFORNIA PC
350 TERRACINA BLVD
REDLANDS, CA 923734850
9093355500
Source: CMS National Downloadable File, September 2026.