Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2023
NPI: 1013605526
Practice Locations (1)
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
1360 W 6TH ST, SUITE 165
SAN PEDRO, CA 907323540
5623173892
Source: CMS National Downloadable File, September 2026.