Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2000
Offers telehealth
NPI: 1689685885
Practice Locations (1)
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
12021 WILMINGTON AVE, SUITE 1000
LOS ANGELES, CA 900593019
4245296755
Source: CMS National Downloadable File, September 2026.