Graduated: 2008
NPI: 1396070512
Practice Locations (3)
COUNTY OF LOS ANGELES
12021 S WILMINGTON AVE, ROOM 1059
LOS ANGELES, CA 900593019
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH
13300 VAN NUYS BLVD
PACOIMA, CA 913313004
8188961903
COUNTY OF LOS ANGELES
14445 OLIVE VIEW DR
SYLMAR, CA 913421437
8183643001
Source: CMS National Downloadable File, September 2026.