Graduated: 2000
NPI: 1326200122
Practice Locations (3)
5400 BALBOA BLVD, SUITE 111
ENCINO, CA 913165206
2487052439
OCALA HEALTH SURGICAL GROUP LLC
1234 SE MAGNOLIA EXT, UNIT 1
OCALA, FL 344713770
3524011218
CORA HEALTH SERVICES INC
2953 TRAVERSE TRL
THE VILLAGES, FL 321632017
3526933378
Source: CMS National Downloadable File, September 2026.