Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2012
Offers telehealth
NPI: 1245650951
Practice Locations (1)
LEPORT SURGICAL MEDICAL CORPORATION
18111 BROOKHURST ST, SUITE 5600
FOUNTAIN VALLEY, CA 927086728
7148614666
Source: CMS National Downloadable File, September 2026.