Graduated: 2024
NPI: 1114737798
Practice Locations (3)
1141 N BRAND BLVD, SUITE 302
GLENDALE, CA 912022511
1141 N BRAND BLVD, SUITE 302
GLENDALE, CA 912023069
11240 MAGNOLIA BLVD, SUITE 102
NORTH HOLLYWOOD, CA 916013790
Source: CMS National Downloadable File, September 2026.