Graduated: 2025
NPI: 1184575797
Practice Locations (4)
139 W TYLER PL
BRAWLEY, CA 922277766
1699 N IMPERIAL AVE
EL CENTRO, CA 922431320
200 OCEANGATE, SUITE 100
Long Beach, CA 908024317
200 OCEANGATE, SUITE 100
LONG BEACH, CA 908024316
Source: CMS National Downloadable File, September 2026.