Graduated: 2001
Offers telehealth
NPI: 1790787802
Practice Locations (3)
19191 S VERMONT AVE, FL 7 BUSINESS OFFICE
TORRANCE, CA 905021018
2382 CRENSHAW BLVD, SUITE 5
TORRANCE, CA 905013333
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.