Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2023
NPI: 1093449589
Practice Locations (2)
557 N MACLAY AVE
SAN FERNANDO, CA 913402424
24068 CORTE LA BROCHA
SANTA CLARITA, CA 913544004
Source: CMS National Downloadable File, September 2026.