Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1689200115
Practice Locations (2)
1530 E CHEVY CHASE DR, SUITE 203
GLENDALE, CA 912064194
PO BOX, SUITE 888794
LOS ANGELES, CA 900888794
Source: CMS National Downloadable File, September 2026.