Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1982187951
Practice Locations (2)
17207 VENTURA BLVD, SUITE 4
ENCINO, CA 913164035
17621 LEMAY ST
VAN NUYS, CA 914065330
Source: CMS National Downloadable File, September 2026.