Graduated: 2023
NPI: 1578293395
Practice Locations (3)
1633 LYMAN PL APT, SUITE 3
Los Angeles, CA 900275433
1633 LYMAN PL, APT 3
LOS ANGELES, CA 900275433
500 WESTOVER DR, SUITE 13619
Sanford, NC 273308941
Source: CMS National Downloadable File, September 2026.