Graduated: 2021
NPI: 1073274429
Practice Locations (2)
12304 SANTA MONICA BLVD, SUITE 310
LOS ANGELES, CA 900251594
3128102181
122 LINCOLN BLVD, SUITE 203
VENICE, CA 902912859
3128102181
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2021
NPI: 1073274429
12304 SANTA MONICA BLVD, SUITE 310
LOS ANGELES, CA 900251594
3128102181
122 LINCOLN BLVD, SUITE 203
VENICE, CA 902912859
3128102181
Source: CMS National Downloadable File, September 2026.