Graduated: 2024
NPI: 1275347999
Practice Locations (3)
601 NEPTUNE AVE
ENCINITAS, CA 920242022
18436 HAWTHORNE BLVD, SUITE 210
TORRANCE, CA 905044541
721 1ST ST, APT 3
INDIAN ROCKS BEACH, FL 337852697
Source: CMS National Downloadable File, September 2026.