Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1023021367
Practice Locations (1)
1000 NEWBURY RD, SUITE 165
THOUSAND OAKS, CA 913206439
8054969976
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1023021367
1000 NEWBURY RD, SUITE 165
THOUSAND OAKS, CA 913206439
8054969976
Source: CMS National Downloadable File, September 2026.