Graduated: 1999
Offers telehealth
NPI: 1902240229
Practice Locations (2)
4070 E OLYMPIC BLVD
LOS ANGELES, CA 900233332
3236852070
NORTHEAST COMMUNITY CLINIC
5420 N FIGUEROA ST
LOS ANGELES, CA 900424118
3232563884
Source: CMS National Downloadable File, September 2026.