Graduated: 2016
NPI: 1346558087
Practice Locations (3)
601 NEPTUNE AVE
Encinitas, CA 920242022
1712 W 146TH ST, APT 5
GARDENA, CA 902472394
18436 HAWTHORNE BLVD, SUITE 210
TORRANCE, CA 905044541
Source: CMS National Downloadable File, September 2026.