Graduated: 2023
NPI: 1295565562
Practice Locations (3)
1101 E BROADWAY, SUITE 103
GLENDALE, CA 912051383
10727 WHITE OAK AVE, SUITE 102
GRANADA HILLS, CA 913444631
7465 W LAKE MEAD BLVD, SUITE 100
LAS VEGAS, NV 891281033
Source: CMS National Downloadable File, September 2026.