Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2019
Offers telehealth
NPI: 1265096531
Practice Locations (1)
COAST UROLOGICAL MEDICAL GROUP, INC.
3771 KATELLA AVE, SUITE 210
LOS ALAMITOS, CA 907203118
5624300581
Source: CMS National Downloadable File, September 2026.