Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2023
NPI: 1275228447
Practice Locations (3)
5950 CANOGA AVE, SUITE 300
Woodland Hills, CA 913675041
5950 CANOGA AVE, SUITE 300
WOODLAND HILLS, CA 913675051
PO BOX
WOODLAND HILLS, CA 91365
Source: CMS National Downloadable File, September 2026.