Provider Profile

Unclaimed Profile

At a glance

About

is a healthcare provider located in Redondo Beach, CA. NPI 1609785807 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Credentials & Licensing

NPINational Provider Identifier
1609785807Issued 2026

As reported to the NPI registry ↗

Common questions

Where can I find ?

is listed at 1401 Inglewood Ave, Redondo Beach, CA 90278. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact ?

The number on file is (310) 798-8650. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for ?

's National Provider Identifier is 1609785807. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Is 's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by . If this is you, claiming it is free.

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