Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2013
Also: PEDIATRIC MEDICINE
Offers telehealth
NPI: 1104264472
Practice Locations (1)
PROVIDENCE MEDICAL FOUNDATION
1514 VALLEY VISTA DR
DIAMOND BAR, CA 917653929
9098601144
Source: CMS National Downloadable File, September 2026.