Graduated: 2016
NPI: 1669059481
Practice Locations (4)
PO
PASADENA, CA 91110
2020 SANTA MONICA BLVD, FL 3
SANTA MONICA, CA 904041878
21311 MADRONA AVE, SUITE 101
Torrance, CA 905035970
111 E 18TH ST, APT 313
NORFOLK, VA 235170039
Source: CMS National Downloadable File, September 2026.