Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2016
NPI: 1093172926
Practice Locations (3)
PO BOX, SUITE 14091
Orange, CA 928631491
PO BOX
ORANGE, CA 92863
NAVAL MEDICAL CTR PORTSMOUTH, 620 JOHN PAUL JONES CIRCLE
Portsmouth, VA 237082197
Source: CMS National Downloadable File, September 2026.