Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1861570756
Practice Locations (2)
GRACELIGHT COMMUNITY HEALTH
150 N RENO ST
LOS ANGELES, CA 900264656
2133807298
GRACELIGHT COMMUNITY HEALTH
303 LOMA DR
LOS ANGELES, CA 900171103
2138585126
Source: CMS National Downloadable File, September 2026.