Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1993
NPI: 1982799953
Practice Locations (2)
222 W EULALIA ST, SUITE 211
GLENDALE, CA 912042851
8185024567
GRACELIGHT COMMUNITY HEALTH
4448 YORK BLVD
LOS ANGELES, CA 900413328
3233445233
Source: CMS National Downloadable File, September 2026.