Graduated: 2019
NPI: 1942762877
Practice Locations (3)
PO, SUITE 3029
PASADENA, CA 911100001
2020 SANTA MONICA BLVD, FL 3
SANTA MONICA, CA 904041878
21311 MADRONA AVE, SUITE 101
TORRANCE, CA 905035970
Source: CMS National Downloadable File, September 2026.