Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2014
NPI: 1912311655
Practice Locations (2)
22330 HAWTHORNE BLVD, SUITE F
TORRANCE, CA 905052530
3106062106
22330 HAWTHORNE BLVD, SUITE F
TORRANCE, CA 905052536
Source: CMS National Downloadable File, September 2026.