Graduated: 2012
NPI: 1003386558
Practice Locations (2)
500 N CENTRAL AVE, SUITE 740
GLENDALE, CA 912033953
8185475400
OPTIMUM MEDICAL GROUP NORTH
2258 FOOTHILL BLVD, SUITE 200
LA CANADA, CA 910111472
8182488998
Source: CMS National Downloadable File, September 2026.