Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2019
NPI: 1770147464
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
REGENTS OF THE UNIVERSITY OF
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
Source: CMS National Downloadable File, September 2026.