Graduated: 1969
NPI: 1013042357
Practice Locations (2)
COUNTY OF LOS ANGELES
1108 N OLEANDER AVE
COMPTON, CA 902224041
3107632244
COUNTY OF LOS ANGELES
38350 40TH ST E
PALMDALE, CA 935523075
6614714232
Source: CMS National Downloadable File, September 2026.