Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1994
NPI: 1184783508
Practice Locations (2)
4161 REDONDO BEACH BLVD, SUITE 300
LAWNDALE, CA 902603306
3103705648
4161 REDONDO BEACH BLVD, SUITE 300
LAWNDALE, CA 902603340
Source: CMS National Downloadable File, September 2026.