Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2015
NPI: 1699136127
Practice Locations (2)
LEGACY MD MEDICAL GROUP INC
222 E COLE BLVD
CALEXICO, CA 922313211
7605501685
24 ON PHYSICIANS OF CALIFORNIA PC
1415 ROSS AVE
EL CENTRO, CA 922434306
7603394045
Source: CMS National Downloadable File, September 2026.