Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1225035025
Practice Locations (2)
817 ATLANTIC AVE
Long Beach, CA 908134512
817 ATLANTIC AVE
LONG BEACH, CA 908134512
5625916890
Source: CMS National Downloadable File, September 2026.