Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2010
NPI: 1730405440
Practice Locations (2)
9940 TALBERT AVE, SUITE 202
FOUNTAIN VALLEY, CA 927085153
9499880000
31920 DEL OBISPO ST, SUITE 170
SAN JUAN CAPISTRANO, CA 926753193
9499880000
Source: CMS National Downloadable File, September 2026.