Graduated: 2022
NPI: 1083392955
Practice Locations (4)
15720 VENTURA BLVD
ENCINO, CA 914362955
375 REDONDO AVE, SUITE 1131
Long Beach, CA 908142656
19136 KINZIE ST
NORTHRIDGE, CA 913241726
402 W BROADWAY, SUITE 400
SAN DIEGO, CA 921013554
Source: CMS National Downloadable File, September 2026.