Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1700879384
Practice Locations (2)
24868 APPLE ST
SANTA CLARITA, CA 913215037
6612591711
24868 APPLE ST, SUITE 103
SANTA CLARITA, CA 913215040
Source: CMS National Downloadable File, September 2026.