Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1989
Offers telehealth
NPI: 1174588529
Practice Locations (2)
19671 BEACH BLVD, SUITE 201
HUNTINGTON BEACH, CA 926485901
14 BELLEVUE
Newport Coast, CA 926571105
Source: CMS National Downloadable File, September 2026.