Graduated: 1993
NPI: 1679542898
Practice Locations (3)
SO-CAL COMMUNITY HEALTH CENTER
9700 WOODMAN AVE, SUITE A10
ARLETA, CA 913318040
8187462626
4954 HESPERIA AVE
ENCINO, CA 913164207
18370 BURBANK BLVD, SUITE 602
TARZANA, CA 913562804
8182061418
Source: CMS National Downloadable File, September 2026.