Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1891715835
Practice Locations (2)
11100 WARNER AVE, SUITE 258
FOUNTAIN VALLEY, CA 927084011
74361 HWY 111, SUITE 5
PALM DESERT, CA 922604125
7606105573
Source: CMS National Downloadable File, September 2026.