Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2016
NPI: 1932627874
Practice Locations (2)
DEPARTMENT OF STATE HOSPITALS
11401 BLOOMFIELD AVE
NORWALK, CA 906502015
9166518811
UC REGENTS
101 THE CITY DR S
ORANGE, CA 928683201
7144567002
Source: CMS National Downloadable File, September 2026.