Graduated: 2022
Offers telehealth
NPI: 1053046912
Practice Locations (3)
12301 WILSHIRE BLVD, SUITE 512
Los Angeles, CA 900251053
12301 WILSHIRE BLVD, SUITE 512
LOS ANGELES, CA 900251053
123 TURQUOISE AVE
NEWPORT BEACH, CA 926621036
Source: CMS National Downloadable File, September 2026.