Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 2025
NPI: 1689569121
Practice Locations (3)
1144 W 149TH ST
Gardena, CA 902473010
1144 W 149TH ST
GARDENA, CA 902473010
6134 PACIFIC BLVD
HUNTINGTON PARK, CA 902552923
Source: CMS National Downloadable File, September 2026.