Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1528014644
Practice Locations (2)
510 N PROSPECT AVE, SUITE 115
REDONDO BEACH, CA 902773057
3106025002
21143 HAWTHORNE BLVD, SUITE 416
TORRANCE, CA 905034615
Source: CMS National Downloadable File, September 2026.