Graduated: 1996
NPI: 1699953604
Practice Locations (2)
1110 S GLENDALE AVE, SUITE E
GLENDALE, CA 912055623
8189455502
PALMDALE MEDICAL CLINIC INC
38780 TRADE CTR DR, SUITE 1C
PALMDALE, CA 935513641
6619475600
Source: CMS National Downloadable File, September 2026.