Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1912647025
Practice Locations (3)
PO BOX
LOS ANGELES, CA 90084
180 VIA VERDE, SUITE 100
San Dimas, CA 917733993
180 VIA VERDE, SUITE 100
SAN DIMAS, CA 917733989
Source: CMS National Downloadable File, September 2026.