Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1033138110
Practice Locations (2)
1127 WILSHIRE BLVD, SUITE 1604
Los Angeles, CA 900174007
1127 WILSHIRE BLVD, SUITE 1604
LOS ANGELES, CA 900174007
2132505470
Source: CMS National Downloadable File, September 2026.