Graduated: 2012
NPI: 1518202522
Practice Locations (5)
1533 W 113TH ST
Los Angeles, CA 900474932
1533 W 113TH ST
LOS ANGELES, CA 900474932
6203 SAN IGNACIO AVE, SUITE 110
SAN JOSE, CA 951191371
708 MAIN ST, FL 4
HOUSTON, TX 770020001
708 MAIN ST, FL 4
HOUSTON, TX 770023208
Source: CMS National Downloadable File, September 2026.