Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1669436002
Practice Locations (2)
11100 WARNER AVE
FOUNTAIN VALLEY, CA 927087500
7144351500
11100 WARNER AVE, SUITE 104
FOUNTAIN VALLEY, CA 927087506
Source: CMS National Downloadable File, September 2026.