Graduated: 2025
NPI: 1821936790
Practice Locations (3)
1801 W OLYMPIC BLVD, SUITE 1270
PASADENA, CA 911990001
723 BRICK DR
Henderson, NV 890028418
6040 S FORT APACHE RD, SUITE 100
LAS VEGAS, NV 891485613
Source: CMS National Downloadable File, September 2026.