Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1144366899
Practice Locations (1)
11740 SAN VICENTE BLVD
LOS ANGELES, CA 900496610
3109798525
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1144366899
11740 SAN VICENTE BLVD
LOS ANGELES, CA 900496610
3109798525
Source: CMS National Downloadable File, September 2026.