Graduated: 1985
Offers telehealth
NPI: 1003923368
Practice Locations (4)
8510 BALBOA BLVD, SUITE 150
NORTHRIDGE, CA 913255810
39000 BOB HOPE DR, ELCCC 2ND FLOOR
RANCHO MIRAGE, CA 922703221
15 GRUMMAN RD W, SUITE 1400
Bethpage, NY 117145029
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.