Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 2020
NPI: 1942871645
Practice Locations (3)
39480 TANNAT DR
TEMECULA, CA 925910381
5 DAKOTA DR, SUITE 307
New Hyde Park, NY 110421106
5 DAKOTA DR, SUITE 307
NEW HYDE PARK, NY 110421188
Source: CMS National Downloadable File, September 2026.