Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1998
NPI: 1649388067
Practice Locations (2)
6789 QUAIL HILL PKWY, SUITE 116
IRVINE, CA 926034233
1 HOAG DR
NEWPORT BEACH, CA 926634162
9494003903
Source: CMS National Downloadable File, September 2026.