Graduated: 2006
NPI: 1780891416
Practice Locations (2)
IMPT INC
16561 BOLSA CHICA ST, SUITE 100
HUNTINGTON BEACH, CA 926493594
9498618600
MEMORIAL ORTHOPAEDIC SURGICAL GROUP
2760 ATLANTIC AVE
LONG BEACH, CA 908062755
5624246666
Source: CMS National Downloadable File, September 2026.