Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1467149500
Practice Locations (4)
PO BOX
LOS ANGELES, CA 90084
PO BOX, SUITE 846758
LOS ANGELES, CA 900846758
180 VIA VERDE, SUITE 100
San Dimas, CA 917733993
180 VIA VERDE, SUITE 100
SAN DIMAS, CA 917733989
Source: CMS National Downloadable File, September 2026.