Medical school: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1477785681
Practice Locations (4)
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 927083720
450 E SPRING ST, SUITE 1
LONG BEACH, CA 908061625
PO BOX, SUITE 14091
ORANGE, CA 928634091
5315 TORRANCE, C/O PROVIDENCE MEDICAL INSTITUTE
TORRANCE, CA 90503
Source: CMS National Downloadable File, September 2026.