Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1457367799
Practice Locations (3)
1300 W 7TH ST
San Pedro, CA 907323505
1300 W 7TH ST, 3RD FL REHAB CENTER
SAN PEDRO, CA 907323505
3108323311
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3105407676
Source: CMS National Downloadable File, September 2026.