Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1994
NPI: 1134312812
Practice Locations (2)
313 N FIGUEROA ST, SUITE 406
LOS ANGELES, CA 900122602
5767 W CENTURY BLVD
LOS ANGELES, CA 900455631
Source: CMS National Downloadable File, September 2026.