Graduated: 2023
NPI: 1619758943
Practice Locations (3)
12301 WILSHIRE BLVD
Los Angeles, CA 900251053
12301 WILSHIRE BLVD, SUITE 512
LOS ANGELES, CA 900251022
12301 WILSHIRE BLVD, SUITE 512
LOS ANGELES, CA 900251053
Source: CMS National Downloadable File, September 2026.