Graduated: 2010
NPI: 1194034405
Practice Locations (3)
123 S ALVARADO ST
LOS ANGELES, CA 900572201
2032 MARENGO ST
LOS ANGELES, CA 900331319
2393 TOWNSGATE RD, SUITE 104
WESTLAKE VILLAGE, CA 913612509
Source: CMS National Downloadable File, September 2026.