Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1417264383
Practice Locations (2)
COUNTY OF LOS ANGELES
1333 CHESTNUT AVE
LONG BEACH, CA 908132944
5627532315
COUNTY OF LOS ANGELES
12021 S WILMINGTON AVE, ROOM 1059
LOS ANGELES, CA 900593019
Source: CMS National Downloadable File, September 2026.