Graduated: 2012
NPI: 1356690234
Practice Locations (2)
COUNTY OF LOS ANGELES
335 E AVE I
LANCASTER, CA 935351916
6614714232
GOLDEN STATE OTOLARYNGOLOGY MEDICAL
41301 12TH ST W, SUITE A
PALMDALE, CA 935511465
6617266277
Source: CMS National Downloadable File, September 2026.