Medical school: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated: 2017
NPI: 1982191110
Practice Locations (1)
FOURTH OPTOMETRIC CARE OF CALIFORNIA
20929 VENTURA BLVD, SUITE 23
WOODLAND HILLS, CA 913643352
8188834303
Source: CMS National Downloadable File, September 2026.