Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1255073706
Practice Locations (3)
PO BOX
PASADENA, CA 91189
180 VIA VERDE, SUITE 100
San Dimas, CA 917733993
180 VIA VERDE, SUITE 100
SAN DIMAS, CA 917733989
Source: CMS National Downloadable File, September 2026.