Medical school: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1750195244
Practice Locations (2)
14650 AVIATION BLVD, SUITE 200
HAWTHORNE, CA 902506665
1700 E CESAR E CHAVEZ AVE, SUITE 2500
LOS ANGELES, CA 900332434
Source: CMS National Downloadable File, September 2026.