Graduated: 2014
NPI: 1033512439
Practice Locations (2)
PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION
29229 CANWOOD ST, SUITE 112
AGOURA HILLS, CA 913011561
8185017276
PRIMARY CARE SPORTS MEDICINE A MEDICAL CORPORATION
18411 CLARK ST, SUITE 302
TARZANA, CA 913563541
8185017276
Source: CMS National Downloadable File, September 2026.