Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1164093530
Practice Locations (2)
1828 E CESAR E CHAVEZ AVE, SUITE 6100
Los Angeles, CA 900332597
1828 E CESAR E CHAVEZ AVE, SUITE 6100
LOS ANGELES, CA 900332597
Source: CMS National Downloadable File, September 2026.