Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2020
NPI: 1902435191
Practice Locations (2)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
9961 SIERRA AVE
FONTANA, CA 923356720
9094275000
RIVERSIDE FACULTY MEDICAL GROUP INC
26520 CACTUS AVE
MORENO VALLEY, CA 925553927
9516561500
Source: CMS National Downloadable File, September 2026.