Physician Misconduct and Physician Discipline

Physician Information

Physician Information

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Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:26732 Crown Valley Parkway, Suite 421 Mission Viejo, CA 92691
 License Number:189020
 License Type:MD
 Year of Birth: 1959
 Effective Date:03/16/2012
 Action Description for DOH Webpage:The physician has agreed not to register or reapply for a medical license in New York State.
 Misconduct Description for DOH Webpage:This is a modification of the terms of Order BPMC #10-257 issued on December 10, 2010 and does not constitute a new disciplinary action. Previously the physician had not contested the charge of having been disciplined by the California State Medical Board for failing to maintain accurate patient records.
  License Restrictions for DOH Webpage:
 Board Order:
BRD 189020.pdf
BRD 189020.pdf