Graduated: 1993
NPI: 1548366511
Practice Locations (4)
COUNTY OF LOS ANGELES
6901 ATLANTIC AVE
BELL, CA 902013646
3238976000
COUNTY OF LOS ANGELES
123 W MANCHESTER BLVD
INGLEWOOD, CA 903011753
3104195325
COUNTY OF LOS ANGELES
12021 S WILMINGTON AVE, ROOM 1059
LOS ANGELES, CA 900593019
COUNTY OF LOS ANGELES
5850 S MAIN ST
LOS ANGELES, CA 900031215
3238976000
Source: CMS National Downloadable File, September 2026.