Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1720136823
Practice Locations (2)
26732 CROWN VALLEY PKWY, SUITE 445
Mission Viejo, CA 926918522
26732 CROWN VALLEY PKWY, SUITE 445
MISSION VIEJO, CA 926918522
9493646580
Source: CMS National Downloadable File, September 2026.