Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1649013848
Practice Locations (2)
215 CULVER BLVD, SUITE 5093
Playa Del Rey, CA 902962005
302 W 5TH ST, SUITE 308
SAN PEDRO, CA 907312750
Source: CMS National Downloadable File, September 2026.