Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1023235926
Practice Locations (2)
4361 S WESTERN AVE
Los Angeles, CA 900621651
4361 S WESTERN AVE
LOS ANGELES, CA 900621651
3232923900
Source: CMS National Downloadable File, September 2026.