Medical school: COLLEGE OF PHYSICIANS AND SURGEONS (CALIFORNIA)
Graduated: 2001
Offers telehealth
NPI: 1457647901
Practice Locations (1)
SOUTH COAST FAMILY MEDICAL CENTER INC
25500 RANCHO NIGUEL RD, SUITE 100
LAGUNA NIGUEL, CA 926777373
94964305000
Source: CMS National Downloadable File, September 2026.