Graduated: 2015
NPI: 1205702545
Practice Locations (3)
9330 TELEGRAPH RD APT, SUITE 112
Downey, CA 902402482
PO BOX, SUITE 226873
LOS ANGELES, CA 90022
500 WESTOVER DR, SUITE 13819
Sanford, NC 273308941
Source: CMS National Downloadable File, September 2026.