Graduated: 2022
NPI: 1154911014
Practice Locations (4)
2381 ROSECRANS AVE, SUITE 115
EL SEGUNDO, CA 902454906
1820 ARDMORE AVE APT, SUITE 12
Hermosa Beach, CA 902543069
1820 ARDMORE AVE, APT 12
HERMOSA BEACH, CA 902543038
5150 E PACIFIC COAST HWY, SUITE 500
LONG BEACH, CA 908043328
Source: CMS National Downloadable File, September 2026.