Graduated: 2012
NPI: 1699023085
Practice Locations (3)
5901 W CENTURY BLVD, SUITE 750
LOS ANGELES, CA 900455443
30701 BARRINGTON ST, SUITE 150
MADISON HEIGHTS, MI 480715106
30701 BARRINGTON ST, SUITE 150
MADISON HEIGHTS, MI 480715135
Source: CMS National Downloadable File, September 2026.