Graduated: 2025
NPI: 1841184538
Practice Locations (2)
NORTHEAST COMMUNITY CLINIC
1414 S GRAND AVE
LOS ANGELES, CA 900153072
VITUITY PHYSICIAN SERVICES PC
1499 E HIGHLAND AVE
SAN BERNARDINO, CA 924044611
8554228029
Source: CMS National Downloadable File, September 2026.