Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1952363178
Practice Locations (2)
M A C T HEALTH BOARD INCORPORATED
52 S MAIN ST
ANGELS CAMP, CA 952229153
2097546262
M A C T HEALTH BOARD INCORPORATED
13975 MONO WAY
SONORA, CA 953702824
2095339600
Source: CMS National Downloadable File, September 2026.