Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1995
NPI: 1306997143
Practice Locations (1)
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
12828 HARBOR BLVD, SUITE 330
GARDEN GROVE, CA 928405834
7145348100
Source: CMS National Downloadable File, September 2026.