Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1679967996
Practice Locations (2)
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
COUNTY OF LOS ANGELES
7515 VAN NUYS BLVD
VAN NUYS, CA 914051949
8186273050
Source: CMS National Downloadable File, September 2026.