Medical school: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1184689663
Practice Locations (1)
LEPORT SURGICAL MEDICAL CORPORATION
18111 BROOKHURST ST, SUITE 5600
FOUNTAIN VALLEY, CA 927086728
7148614666
Source: CMS National Downloadable File, September 2026.