Graduated: 1986
NPI: 1194864892
Practice Locations (3)
JHA GERIATRIC SERVICES INC
18855 VICTORY BLVD
RESEDA, CA 913356445
8187743139
PRIME 5 MEDICAL GROUP INC
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 900481804
3107880074
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.