Graduated: 2023
NPI: 1972377489
Practice Locations (4)
1400 MOUNTAIN AVE, SUITE J
DUARTE, CA 910102471
5901 W CENTURY BLVD, SUITE 750
LOS ANGELES, CA 900455443
PO BOX
LOS ANGELES, CA 90084
18920 WILTON PL
Torrance, CA 905046118
Source: CMS National Downloadable File, September 2026.