Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1083782478
Practice Locations (2)
1135 S SUNSET AVE, SUITE 209
West Covina, CA 917903938
1135 S SUNSET AVE, SUITE 209
WEST COVINA, CA 917903938
Source: CMS National Downloadable File, September 2026.