Graduated: 2020
NPI: 1396365599
Practice Locations (4)
18369 SANTA FE AVE
San Bernardino, CA 924071345
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 921275705
21860 BURBANK BLVD, SUITE 120
Woodland Hills, CA 913677458
21860 BURBANK BLVD, SUITE 120
WOODLAND HILLS, CA 913676440
Source: CMS National Downloadable File, September 2026.