Graduated: 1991
NPI: 1942283189
Practice Locations (2)
OMNI FAMILY HEALTH
277 E FRONT ST
BUTTONWILLOW, CA 932060917
8667076664
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
1500 W W COVINA PKWY
WEST COVINA, CA 917902708
6264309991
Source: CMS National Downloadable File, September 2026.