Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2017
NPI: 1649701251
Practice Locations (3)
TARZANA TREATMENT CENTERS INC
18646 OXNARD ST
Tarzana, CA 913561411
TARZANA TREATMENT CENTERS INC
18646 OXNARD ST
TARZANA, CA 913561411
8009961051
COUNTY OF VENTURA
300 HILLMONT AVE
VENTURA, CA 930031651
Source: CMS National Downloadable File, September 2026.