Graduated: 2023
NPI: 1548153281
Practice Locations (3)
1956 N COMMONWEALTH AVE, APT 2
LOS ANGELES, CA 900272823
1956 N COMMONWEALTH AVE APT, SUITE 2
LOS ANGELES, CA 900272823
500 WESTOVER DR
SANFORD, NC 273308941
Source: CMS National Downloadable File, September 2026.