Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1346951134
Practice Locations (2)
4661 SHARON DR
LA PALMA, CA 906231638
2500 REDHILL AVE, SUITE 110
SANTA ANA, CA 92705
Source: CMS National Downloadable File, September 2026.