Graduated: 2018
NPI: 1558846451
Practice Locations (2)
COUNTY OF LOS ANGELES
1108 N OLEANDER AVE
COMPTON, CA 902224041
3107632244
COUNTY OF LOS ANGELES
7515 VAN NUYS BLVD
VAN NUYS, CA 914051949
8186273050
Source: CMS National Downloadable File, September 2026.