Graduated: 2020
NPI: 1730738477
Practice Locations (3)
13300 GARDEN GROVE BLVD
GARDEN GROVE, CA 928432207
7144681100
2331 GRAYVILLE DR
LA HABRA, CA 906316349
5201 GREAT AMERICA PKWY, SUITE 320
SANTA CLARA, CA 950541121
Source: CMS National Downloadable File, September 2026.