Graduated: 2021
NPI: 1740921485
Practice Locations (4)
136 E WALNUT AVE
MONROVIA, CA 910163431
25044 PEACHLAND AVE, SUITE 110
NEWHALL, CA 913212577
7084 FRIARS RD APT, SUITE 120
San Diego, CA 921085109
7084 FRIARS RD, APT 120
SAN DIEGO, CA 921081186
Source: CMS National Downloadable File, September 2026.