Graduated: 1996
NPI: 1619286606
Practice Locations (2)
LOS ANGELES LGBT CENTER
1625 SCHRADER BLVD
LOS ANGELES, CA 900286213
LOS ANGELES LGBT CENTER
1625 SCHRADER BLVD, FL 3
LOS ANGELES, CA 900286213
3239937400
Source: CMS National Downloadable File, September 2026.