Graduated: 1998
NPI: 1669602652
Practice Locations (3)
3727 COUNTRY CLUB DR UNIT, SUITE 5
Long Beach, CA 908073143
3727 COUNTRY CLUB DR, UNIT 5
LONG BEACH, CA 908073142
3727 COUNTRY CLUB DR, UNIT 5
LONG BEACH, CA 908073143
5622163675
Source: CMS National Downloadable File, September 2026.