Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2009
NPI: 1497988646
Practice Locations (1)
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
21730 S VERMONT AVE, 122 TELEMENTAL HEALTH AND CONSULTATION
TORRANCE, CA 905022196
3107813424
Source: CMS National Downloadable File, September 2026.