Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1023067055
Practice Locations (2)
PACIFICA FOUNDATION LLC
1300 N VERMONT AVE
LOS ANGELES, CA 900276098
3236274874
1300 N VERMONT AVE, SUITE 100
LOS ANGELES, CA 900276061
3239134300
Source: CMS National Downloadable File, September 2026.