Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1699487082
Practice Locations (2)
6606 VARIEL AVE APT, SUITE 501
Canoga Park, CA 913033867
6606 VARIEL AVE, APT 501
CANOGA PARK, CA 913033824
Source: CMS National Downloadable File, September 2026.