Graduated: 2025
NPI: 1023810678
Practice Locations (3)
8780 19TH ST, SUITE 492
ALTA LOMA, CA 917014608
877 FRANCISCO ST APT, SUITE 4102
Los Angeles, CA 900172987
8585 BURTON WAY, APT 301
LOS ANGELES, CA 900483375
Source: CMS National Downloadable File, September 2026.