Graduated: 1972
NPI: 1861446841
Practice Locations (2)
J AND M LAUREL MEDICAL CENTER INC
13680 VAN NUYS BLVD
PACOIMA, CA 913313616
8188977730
LA FAMILIA MEDICAL CLINIC INC
15243 VANOWEN ST, SUITE 107
VAN NUYS, CA 914053633
8187878473
Source: CMS National Downloadable File, September 2026.