Graduated: 1999
NPI: 1982885273
Practice Locations (3)
1073 ROSS AVE, SUITE D
EL CENTRO, CA 922434371
7609704361
10906 RIVERSIDE DR
NORTH HOLLYWOOD, CA 916022210
8183303688
14550 ARCHWOOD ST, SUITE 105
VAN NUYS, CA 914054604
8188515541
Source: CMS National Downloadable File, September 2026.