Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2015
NPI: 1982060836
Practice Locations (2)
11500 BURBANK BLVD
NORTH HOLLYWOOD, CA 916012308
19747 WINGED FOOT WAY
PORTER RANCH, CA 913264014
Source: CMS National Downloadable File, September 2026.