Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2014
NPI: 1558789941
Practice Locations (2)
12301 WILSHIRE BLVD, SUITE 512
Los Angeles, CA 900251053
12301 WILSHIRE BLVD
LOS ANGELES, CA 900251000
Source: CMS National Downloadable File, September 2026.