Graduated: 2006
NPI: 1083627764
Practice Locations (2)
260 NEWPORT CTR DR, SUITE 101
NEWPORT BEACH, CA 926607520
9496505800
SOUTHERN CALIFORNIA UNIVERSITY OF HEALTH SCIENCES
14642 NEWPORT AVE, SUITE 330
TUSTIN, CA 927806059
5629437125
Source: CMS National Downloadable File, September 2026.