Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1996
NPI: 1790762573
Practice Locations (2)
2952 PERSIMMON PL
FULLERTON, CA 928352219
1905 E 17TH ST, SUITE 312
SANTA ANA, CA 927058671
7145479668
Source: CMS National Downloadable File, September 2026.