Graduated: 2020
Offers telehealth
NPI: 1700134988
Practice Locations (6)
1155 S POWER RD, SUITE 114MB301
MESA, AZ 852063715
3107703057
COUNTY OF LOS ANGELES
12021 S WILMINGTON AVE, ROOM 1059
LOS ANGELES, CA 900593019
COUNTY OF LOS ANGELES
1000 W CARSON ST
TORRANCE, CA 905022004
3102225026
21515 HAWTHORNE BLVD, SUITE 200
TORRANCE, CA 905036512
3109612217
9615 E COUNTY LINE RD
CENTENNIAL, CO 801123527
4806041042
92 LENORA ST
SEATTLE, WA 981212108
4806041042
Source: CMS National Downloadable File, September 2026.