Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1993
Also: PEDIATRIC MEDICINE
NPI: 1316974561
Practice Locations (2)
COUNTY OF LOS ANGELES
2829 S GRAND AVE
LOS ANGELES, CA 900073304
2136997013
BOLSA MEDICAL GROUP
10362 BOLSA AVE
WESTMINSTER, CA 926836763
7145312091
Source: CMS National Downloadable File, September 2026.