Graduated: 1995
NPI: 1568661734
Practice Locations (3)
11712 MOORPARK ST, SUITE 108
Studio City, CA 916042156
11712 MOORPARK ST, SUITE 108
STUDIO CITY, CA 916042154
11712 MOORPARK ST, SUITE 108
STUDIO CITY, CA 916042156
8184895698
Source: CMS National Downloadable File, September 2026.