Graduated: 1995
NPI: 1790906568
Practice Locations (4)
NORTHEAST VALLEY HEALTH CORPORATION
7107 REMMET AVE
CANOGA PARK, CA 913032016
8183403570
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH
11833 WILMINGTON AVE
LOS ANGELES, CA 900593015
3235688100
NORTHEAST VALLEY HEALTH CORPORATION
12756 VAN NUYS BLVD
PACOIMA, CA 913311626
8188960531
COUNTY OF LOS ANGELES
1212 PICO ST
SAN FERNANDO, CA 913403503
8186273050
Source: CMS National Downloadable File, September 2026.