Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1659004935
Practice Locations (2)
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
191 S BUENA VISTA ST, SUITE 200 AND 240
BURBANK, CA 915054542
8188872671
LAKESIDE MEDICAL ORGANIZATION A MEDICAL GROUP INC
7325 MEDICAL CTR DR, SUITE 300
WEST HILLS, CA 913074117
8185953580
Source: CMS National Downloadable File, September 2026.