Graduated: 2016
NPI: 1396282190
Practice Locations (2)
COUNTY OF LOS ANGELES
335 E AVE I
LANCASTER, CA 935351916
6614714232
EM ALLIANCE CALIFORNIA APC
36485 INLAND VALLEY DR
WILDOMAR, CA 925959681
9516771111
Source: CMS National Downloadable File, September 2026.