Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 2021
NPI: 1275119729
Practice Locations (3)
11 TERRAZA
IRVINE, CA 926148111
393 E WALNUT ST 5TH FL, PHR GROUP PROVIDER ENROLLMENT UNIT
Pasadena, CA 911880001
393 E WALNUT ST 3RD FL
PASADENA, CA 911880001
Source: CMS National Downloadable File, September 2026.