Graduated: 2013
NPI: 1215376843
Practice Locations (4)
15503 VENTURA BLVD, SUITE 320
ENCINO, CA 914363114
199 17TH ST, SUITE J
PACIFIC GROVE, CA 939507200
133 N ALTADENA DR, 2ND FL
PASADENA, CA 911077325
3160 E DEL MAR BLVD, SUITE 110
PASADENA, CA 911074649
Source: CMS National Downloadable File, September 2026.