Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1981
Offers telehealth
NPI: 1043235633
Practice Locations (2)
2211 CORINTH AVE, SUITE 309
Los Angeles, CA 900641650
2211 CORINTH AVE, SUITE 309
LOS ANGELES, CA 900641622
3104441951
Source: CMS National Downloadable File, September 2026.