Medical school: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated: 2022
NPI: 1922748698
Practice Locations (2)
3455 ELM AVE, APT 105
LONG BEACH, CA 908074449
14642 NEWPORT AVE, SUITE 450
TUSTIN, CA 927806092
Source: CMS National Downloadable File, September 2026.