Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2008
Offers telehealth
NPI: 1225200710
Practice Locations (1)
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
1294 W 6TH ST, FL 2
SAN PEDRO, CA 907312987
3105196100
Source: CMS National Downloadable File, September 2026.