Graduated: 2010
NPI: 1700180759
Practice Locations (3)
4100 W ALAMEDA AVE, SUITE 400
BURBANK, CA 915054153
4041 ARCH DR APT, SUITE 111
Studio City, CA 916043287
4041 ARCH DR, APT 111
STUDIO CITY, CA 916043217
Source: CMS National Downloadable File, September 2026.