Graduated: 2018
NPI: 1316444839
Practice Locations (4)
436 5TH ST
KOTZEBUE, AK 997520043
PO BOX, SUITE 43
KOTZEBUE, AK 997520043
5767 W CENTURY BLVD
Los Angeles, CA 900455631
5767 W CENTURY BLVD, SUITE 400
LOS ANGELES, CA 900455631
Source: CMS National Downloadable File, September 2026.