Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2019
NPI: 1659955201
Practice Locations (2)
2500 MIRAMAR AVE, APT 306
CASTRO VALLEY, CA 945462800
500 W JEFFERSON ST, SUITE 2310
Louisville, KY 402022881
Source: CMS National Downloadable File, September 2026.