Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1326570656
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
1011 BALWIN PARK BLVD
BALDWIN PARK, CA 917065806
6268511011
Source: CMS National Downloadable File, September 2026.