Graduated: 2022
NPI: 1760378285
Practice Locations (4)
8251 PALM ST
Lemon Grove, CA 919453328
8251 PALM ST
LEMON GROVE, CA 919453328
1041 E YORBA LINDA BLVD, SUITE 202
Placentia, CA 928703760
500 WESTOVER DR, SUITE 13619
Sanford, NC 273308941
Source: CMS National Downloadable File, September 2026.