Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2004
Offers telehealth
NPI: 1154599546
Practice Locations (2)
18411 CLARK ST, SUITE 107
Tarzana, CA 913563530
18411 CLARK ST, SUITE 107
TARZANA, CA 913563530
8186549312
Source: CMS National Downloadable File, September 2026.