Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1023210432
Practice Locations (2)
191 S BUENA VISTA, SUITE 340
BURBANK, CA 915054562
191 S BUENA VISTA ST, SUITE 340
BURBANK, CA 915054562
8185597500
Source: CMS National Downloadable File, September 2026.