Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2023
NPI: 1811630031
Practice Locations (3)
PO BOX
LOS ANGELES, CA 90074
PO BOX, SUITE 743749
LOS ANGELES, CA 900743749
550 16TH ST 4TH FLOOR, BOX 0110
SAN FRANCISCO, CA 941582545
Source: CMS National Downloadable File, September 2026.