Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1720071517
Practice Locations (3)
2020 HIGH ST, I
SELMA, CA 936623518
5598963937
16415 SE 115TH ST, SUITE 100
VANCOUVER, WA 986839802
AEG WASHINGTON PROFESSIONAL PC
16415 SE 115TH ST, SUITE 100
VANCOUVER, WA 986839802
3602560203
Source: CMS National Downloadable File, September 2026.