Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2000
NPI: 1912986472
Practice Locations (2)
11600 WILSHIRE BLVD, SUITE 110
LOS ANGELES, CA 900251733
3104757602
11755 WILSHIRE BLVD, SUITE 35
LOS ANGELES, CA 900251567
Source: CMS National Downloadable File, September 2026.