Graduated: 2019
NPI: 1972155620
Practice Locations (2)
MARSHALL B KETCHUM UNIVERSITY
3916 S BROADWAY
LOS ANGELES, CA 900371307
3232349137
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4733 W SUNSET BLVD
LOS ANGELES, CA 900276021
2136674784
Source: CMS National Downloadable File, September 2026.