Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1992747653
Practice Locations (2)
1480 S HARBOR BLVD, SUITE 16
LA HABRA, CA 906317506
7145254185
1480 S HARBOR BLVD, SUITE 16
LA HABRA, CA 906317534
Source: CMS National Downloadable File, September 2026.