Graduated: 2025
NPI: 1750093225
Practice Locations (3)
4453 FIRMAMENT AVE
ENCINO, CA 914363104
12913 HARBOR BLVD, SUITE Q3
GARDEN GROVE, CA 928405855
5767 W CENTURY BLVD, SUITE 400
LOS ANGELES, CA 900455631
Source: CMS National Downloadable File, September 2026.