Graduated: 1997
NPI: 1285828509
Practice Locations (2)
COUNTY OF LOS ANGELES
1108 N OLEANDER AVE
COMPTON, CA 902224041
3107632244
COUNTY OF LOS ANGELES
1325 BROAD AVE
WILMINGTON, CA 907442604
5627532315
Source: CMS National Downloadable File, September 2026.