Graduated: 2019
NPI: 1306454988
Practice Locations (3)
1920 MAIN ST, SUITE 350
IRVINE, CA 926147204
5215 E CHAPMAN AVE SPC, SUITE 34
Orange, CA 928694240
5215 E CHAPMAN AVE, SPC 34
ORANGE, CA 928694240
Source: CMS National Downloadable File, September 2026.