Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1871465070
Practice Locations (2)
2311 W 10TH ST UNIT, SUITE 102
Los Angeles, CA 900062084
2311 W 10TH ST, UNIT 102
LOS ANGELES, CA 900062084
Source: CMS National Downloadable File, September 2026.