Graduated: 1985
NPI: 1205981859
Practice Locations (2)
PREMIUM PODIATRY INC
6601 RUGBY AVE, SUITE 100
HUNTINGTON PARK, CA 902554040
3237499770
FOOT PAIN MANAGEMENT INC A PROFESSIONAL CORPORATION
5907 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA 916011006
8189803073
Source: CMS National Downloadable File, September 2026.