Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2022
NPI: 1366084253
Practice Locations (1)
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
1500 W W COVINA PKWY
WEST COVINA, CA 917902708
6264309991
Source: CMS National Downloadable File, September 2026.