Graduated: 2004
NPI: 1285912741
Practice Locations (2)
GRACELIGHT COMMUNITY HEALTH
150 N RENO ST
LOS ANGELES, CA 900264656
2133807298
GRACELIGHT COMMUNITY HEALTH
4448 YORK BLVD
LOS ANGELES, CA 900413328
3233445233
Source: CMS National Downloadable File, September 2026.