Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2017
Offers telehealth
NPI: 1063946341
Practice Locations (3)
393 E WALNUT ST
PASADEN, CA 911880001
PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 911880001
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.