Graduated: 1986
Offers telehealth
NPI: 1366599987
Practice Locations (2)
COUNTY OF LOS ANGELES
1333 CHESTNUT AVE
LONG BEACH, CA 908132944
5627532315
COUNTY OF LOS ANGELES
12021 S WILMINGTON AVE, ROOM 1059
LOS ANGELES, CA 900593019
Source: CMS National Downloadable File, September 2026.