Graduated: 2011
NPI: 1336525088
Practice Locations (4)
11210 SARDIS AVE APT, SUITE 406
Los Angeles, CA 900644190
10801 NATIONAL BLVD, SUITE 252
LOS ANGELES, CA 900644141
3107378562
11210 SARDIS AVE, APT 406
LOS ANGELES, CA 900644187
11210 SARDIS AVE, APT 406
LOS ANGELES, CA 900644190
3107378562
Source: CMS National Downloadable File, September 2026.