Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1124185442
Practice Locations (1)
OCEANSIDE MEDICAL GROUP A MEDICAL CORPORATION
701 SANTA MONICA BLVD, SUITE 230
SANTA MONICA, CA 904012625
3109934103
Source: CMS National Downloadable File, September 2026.