Graduated: 2024
NPI: 1326913690
Practice Locations (3)
1726 S BENTLEY AVE APT, SUITE 302
LOS ANGELES, CA 900254343
10930 WICKS ST
SHADOW HILLS, CA 910401363
600 MAMARONECK AVE, SUITE 400
HARRISON, NY 105281647
Source: CMS National Downloadable File, September 2026.