Graduated: 2024
NPI: 1205627783
Practice Locations (4)
3800 KILROY AIRPORT WAY, SUITE 100
Long Beach, CA 908066818
3800 KILROY AIRPORT WAY, SUITE 100
LONG BEACH, CA 908066818
808 W 58TH ST
Los Angeles, CA 900373632
808 W 58TH ST
LOS ANGELES, CA 900373632
Source: CMS National Downloadable File, September 2026.