Graduated: 2018
Offers telehealth
NPI: 1013545961
Practice Locations (8)
5825 KANAN RD, SUITE B
AGOURA HILLS, CA 913011651
1530 E CHEVY CHASE DR, SUITE 203
GLENDALE, CA 912064194
1260 B ST, SUITE 125
HAYWARD, CA 945412924
1290 B ST, SUITE 109
HAYWARD, CA 945412948
11645 WILSHIRE BLVD, SUITE 1155
LOS ANGELES, CA 900256807
PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 911880001
5164 PLYMOUTH RD
ANN ARBOR, MI 481059824
510 THORNALL ST, SUITE 100
EDISON, NJ 088372204
Source: CMS National Downloadable File, September 2026.