Graduated: 1976
Also: GENERAL PRACTICE
NPI: 1760606123
Practice Locations (2)
1123 S CENTRAL AVE
GLENDALE, CA 912042212
8182428805
GAP POST-ACUTE CARE SERVICES
14857 ROSCOE BLVD
PANORAMA CITY, CA 914024617
8186676488
Source: CMS National Downloadable File, September 2026.