Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1952012437
Practice Locations (2)
541 W COLORADO ST, SUITE 205
Glendale, CA 912043640
541 W COLORADO ST, SUITE 205
GLENDALE, CA 912043640
Source: CMS National Downloadable File, September 2026.