Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1999
NPI: 1295746345
Practice Locations (2)
1703 TERMINO AVE, SUITE 103
LONG BEACH, CA 908042126
5625975100
601 W 9TH ST
SAN PEDRO, CA 907313107
3108333583
Source: CMS National Downloadable File, September 2026.