Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
Offers telehealth
NPI: 1003963364
Practice Locations (1)
31862 S COAST HWY 305
LAGUNA BEACH, CA 926516772
9494991339
Source: CMS National Downloadable File, September 2026.