Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2003
NPI: 1457509259
Practice Locations (2)
18055 VENTURA BLVD
ENCINO, CA 913163517
8188818117
SUPERCLINIC PROFESSIONALS MEDICAL CORP A CALIFORNIA CORPORATION
12134 VICTORY BLVD, SUITE C
NORTH HOLLYWOOD, CA 916063205
8187628702
Source: CMS National Downloadable File, September 2026.