Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1891983078
Practice Locations (2)
100 N SANTA ANITA AVE
Arcadia, CA 910063108
100 N SANTA ANITA AVE
ARCADIA, CA 910063108
6268215998
Source: CMS National Downloadable File, September 2026.