Graduated: 2025
NPI: 1588540678
Practice Locations (3)
6261 KATELLA AVE, SUITE 200
CYPRESS, CA 906305200
10323 SANTA MONICA BLVD, SUITE 108A
LOS ANGELES, CA 900255056
11161 BLIX ST
North Hollywood, CA 916021235
Source: CMS National Downloadable File, September 2026.