Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 2019
NPI: 1801358486
Practice Locations (2)
5767 W CENTURY BLVD, SUITE 400
Los Angeles, CA 900455631
5767 W CENTURY BLVD, SUITE 400
LOS ANGELES, CA 900455631
Source: CMS National Downloadable File, September 2026.