Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2022
NPI: 1730820028
Practice Locations (3)
5950 CANOGA AVE, SUITE 300
Woodland Hills, CA 913675041
5950 CANOGA AVE, SUITE 300
WOODLAND HILLS, CA 913675051
PO BOX
WOODLAND HILLS, CA 91365
Source: CMS National Downloadable File, September 2026.