Graduated: 2025
NPI: 1629853858
Practice Locations (3)
44453 16TH ST W, SUITE 101
Lancaster, CA 935342883
44453 16TH ST W, SUITE 101
LANCASTER, CA 935342883
38440 5TH ST W, SUITE A
PALMDALE, CA 935514499
Source: CMS National Downloadable File, September 2026.