Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1265518146
Practice Locations (2)
8907 WARNER AVE
HUNTINGTON BEACH, CA 926475082
8907 WARNER AVE, SUITE 201
HUNTINGTON BEACH, CA 926475082
7148428282
Source: CMS National Downloadable File, September 2026.