Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2009
NPI: 1629394747
Practice Locations (4)
FILE NUMBER, SUITE 54701
LOS ANGELES, CA 900743234
1505 S D ST, SUITE 202
SAN BERNARDINO, CA 924083228
268 W HOSPITALITY LN, SUITE 300
SAN BERNARDINO, CA 924083234
PO BOX, SUITE 30309
CHARLESTON, SC 294170309
Source: CMS National Downloadable File, September 2026.