Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2023
NPI: 1073208039
Practice Locations (2)
8631 W 3RD ST
LOS ANGELES, CA 900485901
8631 W 3RD ST, SUITE 940
LOS ANGELES, CA 900485997
Source: CMS National Downloadable File, September 2026.