Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1417119835
Practice Locations (1)
PACIFIC HARBOR MEDICAL GROUP,INC
360 N PACIFIC COAST HWY, SUITE 3000
EL SEGUNDO, CA 902454430
3106420100
Source: CMS National Downloadable File, September 2026.