Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2010
NPI: 1700124773
Practice Locations (2)
219 /2 MARGUERITE AVE
CORONA DEL MAR, CA 926254204
9496105139
219 MARGUERITE AVE
CORONA DEL MAR, CA 926253043
Source: CMS National Downloadable File, September 2026.