Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2021
NPI: 1104583145
Practice Locations (1)
BASE TRAINING AND PHYSICAL THERAPY A CALIFORNIA CORPORATION
18801 VENTURA BLVD, SUITE 110
TARZANA, CA 913563361
8183868070
Source: CMS National Downloadable File, September 2026.