Graduated: 2019
Offers telehealth
NPI: 1871946475
Practice Locations (4)
1520 CAMDEN AVE, APT 101
LOS ANGELES, CA 900253443
PO BOX
LOS ANGELES, CA 90084
5 HUTTON CENTRE DR, SUITE 950
SANTA ANA, CA 927078786
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.