Medical school: CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
Graduated: 2023
NPI: 1639864440
Practice Locations (3)
3057 KILLYBROOKE LN
COSTA MESA, CA 926262643
PO BOX, SUITE 14091
Orange, CA 928631491
PO BOX
ORANGE, CA 92863
Source: CMS National Downloadable File, September 2026.