Graduated: 2021
NPI: 1770293276
Practice Locations (3)
2626 FOOTHILL BLVD, SUITE 203
LA CRESCENTA, CA 912143574
8510 BALBOA BLVD, SUITE 150
NORTHRIDGE, CA 913253581
7465 W LAKE MEAD BLVD, SUITE 100
LAS VEGAS, NV 891281033
Source: CMS National Downloadable File, September 2026.