Graduated: 2000
Offers telehealth
NPI: 1447337688
Practice Locations (5)
1441 EASTLAKE AVE, NOR 8302E
Los Angeles, CA 900890112
1 FORD PL
DETROIT, MI 482023067
400 MACK AVE
DETROIT, MI 482012136
26901 BEAUMONT BLVD
SOUTHFIELD, MI 480333849
30 MONTGOMERY ST, SUITE 720
JERSEY CITY, NJ 073023881
Source: CMS National Downloadable File, September 2026.