Graduated: 2001
NPI: 1720162530
Practice Locations (2)
12099 W WASHINGTON BLVD, SUITE 408
Los Angeles, CA 900662620
12099 W WASHINGTON BLVD, SUITE 408
LOS ANGELES, CA 900662620
3107297446
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2001
NPI: 1720162530
12099 W WASHINGTON BLVD, SUITE 408
Los Angeles, CA 900662620
12099 W WASHINGTON BLVD, SUITE 408
LOS ANGELES, CA 900662620
3107297446
Source: CMS National Downloadable File, September 2026.